go back

Socket Insert, Above-Knee

Utah rates for HCPCS L5658

Addition to lower extremity, socket insert, above knee (AK) (Kemblo, Pelite, Aliplast, Plastazote or equal)

Rates data updated July 2026.

Facilitymedian $224 · 10th–90th $141$5010%20%40%10th90th$224Professionalmedian $302 · 10th–90th $141$1,9500%10%20%10th90th$302$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$190.55
Typical High
$1,949.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$363.08
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$363.08
Typical High
$478.63
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$501.19
Typical High
$501.19
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$354.81
Typical High
$645.65
Select Health
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$512.86
Select Health
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$501.19
Typical High
$588.84
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$512.86
Typical High
$707.95
United
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$288.40
Typical High
$346.74
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$218.78
Typical High
$338.84