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Test Socket, Knee Disarticulation

Indiana rates for HCPCS L5622

Addition to lower extremity, test socket, knee disarticulation

Rates data updated July 2026.

Facilitymedian $490 · 10th–90th $229$5500%20%40%10th90th$490Professionalmedian $240 · 10th–90th $204$3720%20%40%10th90th$240$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
$229.09
Median
$229.09
Typical High
$229.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$234.42
Typical High
$323.59
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$489.78
Typical High
$616.60
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$467.74
CareSource
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$562.34
Typical High
$645.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$691.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$426.58
United
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$331.13
Typical High
$489.78
United
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$239.88
Typical High
$346.74