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Socket Insert, Congenital or Atypical Traumatic Amputee

Arkansas rates for HCPCS L5681

Addition to lower extremity, below knee (BK)/above knee (AK), custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code L5673 or L5679)

Rates data updated July 2026.

How much does Socket Insert, Congenital or Atypical Traumatic Amputee cost?

$891

Typical negotiated rate. In Arkansas, July 2026.

Insurers have agreed to pay about $891 for this service. The price depends on where it is billed: about $794 from a physician practice, and about $398,107 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$794$676 to $891
FacilityA hospital or hospital-owned outpatient department$398,107$141,254 to $758,578

How much rates vary

Facilitymedian $398,107 · 10th to 90th $891 to $891,251Professionalmedian $794 · 10th to 90th $468 to $1,047
$1K$10K$100K$1Mfacility $398,107professional $794

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$870.96
Typical High
$1,047.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$218,776.16
Median
$524,807.46
Typical High
$954,992.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,819.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$1,778.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$645.65
Typical High
$891.25
United
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$1,096.48
Typical High
$1,949.84
United
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$758.58
Typical High
$1,071.52

Where Arkansas sits

The same service costs 2.3 times more in South Dakota than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Arkansas· 28th of 51

$891

SD $1,585DE $692

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.