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Test Socket, Knee Disarticulation

Illinois rates for HCPCS L5622

Addition to lower extremity, test socket, knee disarticulation

Rates data updated July 2026.

Facilitymedian $490 · 10th–90th $240$2,5120%20%10th90th$490Professionalmedian $295 · 10th–90th $229$4900%20%10th90th$295$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

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
$239.88
Median
$239.88
Typical High
$489.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$257.04
Typical High
$489.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$933.25
Typical High
$3,311.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$371.54
Typical High
$371.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$489.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$489.78
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$630.96
Typical High
$758.58
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$389.05
United
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$389.05
Typical High
$489.78
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$239.88
Typical High
$426.58