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Test Socket, Knee Disarticulation

Minnesota rates for HCPCS L5622

Addition to lower extremity, test socket, knee disarticulation

Rates data updated July 2026.

Facilitymedian $832 · 10th–90th $417$3,9810%20%10th90th$832Professionalmedian $479 · 10th–90th $316$5620%50%10th90th$479$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
$407.38
Median
$407.38
Typical High
$407.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$316.23
Typical High
$407.38
BCBS
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$478.63
Typical High
$707.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$478.63
Typical High
$478.63
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,819.70
Typical High
$5,011.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$630.96
Typical High
$707.95
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,995.26
Typical High
$3,981.07
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$758.58
Medica
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$478.63
Typical High
$2,344.23
Medica
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$218.78
Typical High
$478.63
United
Setting
Facility
Modifier
Global
Typical Low
$3.47
Median
$288.40
Typical High
$707.95
United
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$288.40
Typical High
$660.69