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Test Socket, Knee Disarticulation

Idaho rates for HCPCS L5622

Addition to lower extremity, test socket, knee disarticulation

Rates data updated July 2026.

Facilitymedian $468 · 10th–90th $275$6460%20%40%10th90th$468Professionalmedian $355 · 10th–90th $200$5620%10%20%10th90th$355$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
Professional
Modifier
Global
Typical Low
$218.78
Median
$316.23
Typical High
$426.58
BCBS
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$489.78
Typical High
$831.76
BCBS
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$562.34
Typical High
$562.34
Cigna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$288.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$275.42
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$398.11
Typical High
$588.84
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$489.78
Typical High
$512.86
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$436.52
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$489.78
Typical High
$489.78
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$562.34
Select Health
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$512.86
Typical High
$776.25
Select Health
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$489.78
Typical High
$562.34
United
Setting
Facility
Modifier
Global
Typical Low
$0.35
Median
$323.59
Typical High
$331.13
United
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$218.78
Typical High
$331.13