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Socket Insert, Above-Knee

Washington 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 $562 · 10th–90th $380$1,1480%20%10th90th$562Professionalmedian $479 · 10th–90th $251$8710%10%10th90th$479$5.0$20.0$100.0$500.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$891.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$380.19
Typical High
$1,949.84
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$562.34
Typical High
$575.44
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$645.65
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
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$645.65
Typical High
$1,659.59
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$630.96
Typical High
$1,000.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$446.68
Typical High
$489.78
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$562.34
Typical High
$575.44
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$851.14
Typical High
$1,174.90
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$562.34
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$575.44
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$645.65
United
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$588.84
Typical High
$707.95
United
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$309.03
Typical High
$426.58
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$501.19
Typical High
$891.25