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Socket Insert, Above-Knee

Wisconsin 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 $427$1,0230%50%10th90th$562Professionalmedian $525 · 10th–90th $269$9120%20%10th90th$525$0.5$2.0$10.0$50.0$200.0$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
$275.42
Median
$275.42
Typical High
$275.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$436.52
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$912.01
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$630.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$1,288.25
Typical High
$2,818.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$812.83
Typical High
$1,047.13
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$446.68
Typical High
$691.83
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$660.69
Typical High
$812.83
Medica
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$549.54
Typical High
$2,344.23
Medica
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$331.13
Typical High
$616.60
Molina
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$70.79
Typical High
$309.03
Network Health
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Network Health
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$630.96
Typical High
$1,096.48
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$446.68
Typical High
$691.83
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$446.68
Typical High
$549.54
Quartz
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$831.76
Typical High
$1,318.26
Quartz
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$1,122.02
Typical High
$2,344.23
Quartz
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$831.76
Typical High
$2,951.21
United
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$331.13
Typical High
$562.34
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$275.42
Typical High
$489.78