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Test Socket, Knee Disarticulation

Massachusetts rates for HCPCS L5622

Addition to lower extremity, test socket, knee disarticulation

Rates data updated July 2026.

Facilitymedian $331 · 10th–90th $234$1,6980%10%20%10th90th$331Professionalmedian $479 · 10th–90th $234$7080%20%10th90th$479$0.5$5.0$50.0$500.0$5.0K$50.0K

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
$234.42
Median
$234.42
Typical High
$234.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$234.42
Typical High
$741.31
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$562.34
Typical High
$2,398.83
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$426.58
Typical High
$660.69
BCBS
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$954.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$316.23
Typical High
$380.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$346.74
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$707.95
Health New England
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$562.34
Typical High
$2,398.83
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$426.58
Typical High
$660.69
United
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$323.59
Typical High
$588.84
United
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$436.52
Typical High
$478.63