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Test Socket, Knee Disarticulation

Alaska rates for HCPCS L5622

Addition to lower extremity, test socket, knee disarticulation

Rates data updated July 2026.

Facilitymedian $275 · 10th–90th $141$4680%20%40%10th90th$275Professionalmedian $295 · 10th–90th $229$6310%10%20%10th90th$295$100.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$263.03
Typical High
$398.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$537.03
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$323.59
Typical High
$467.74
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$489.78
Typical High
$1,513.56
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$446.68
Typical High
$467.74
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$446.68
Typical High
$467.74
Providence
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$467.74
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$275.42
Typical High
$478.63
United
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$323.59
Typical High
$346.74
United
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$229.09
Typical High
$1,047.13