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Test Socket, Knee Disarticulation

Iowa rates for HCPCS L5622

Addition to lower extremity, test socket, knee disarticulation

Rates data updated July 2026.

Facilitymedian $407 · 10th–90th $288$1,1480%20%10th90th$407Professionalmedian $324 · 10th–90th $191$6310%10%20%10th90th$324$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
$281.84
Median
$338.84
Typical High
$407.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$281.84
Typical High
$426.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$489.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$562.34
Typical High
$691.83
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$588.84
Typical High
$707.95
Medica
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$575.44
Typical High
$2,344.23
Medica
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$316.23
Typical High
$724.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$512.86
Typical High
$676.08
Midlands
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Midlands
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$724.44
Typical High
$724.44
United
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$363.08
Typical High
$933.25
United
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$251.19
Typical High
$478.63
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$436.52
Typical High
$436.52