go back

Test Socket, Knee Disarticulation

Maryland rates for HCPCS L5622

Addition to lower extremity, test socket, knee disarticulation

Rates data updated July 2026.

Facilitymedian $324 · 10th–90th $191$5250%20%40%10th90th$324Professionalmedian $269 · 10th–90th $200$3630%20%40%10th90th$269$200.0$500.0$1.0K$2.0K

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
$194.98
Median
$269.15
Typical High
$323.59
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$354.81
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
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$524.81
Typical High
$776.25
United
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$323.59
Typical High
$524.81
United
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$269.15
Typical High
$407.38
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$446.68