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Socket Insert, Above-Knee

Vermont 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 $331 · 10th–90th $166$3630%20%40%10th90th$331Professionalmedian $269 · 10th–90th $245$3630%20%40%10th90th$269$200.0$500.0$1.0K$2.0K

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

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$295.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$363.08
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$288.40
Typical High
$346.74
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$331.13
Typical High
$1,023.29