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Test Socket, Knee Disarticulation

Missouri rates for HCPCS L5622

Addition to lower extremity, test socket, knee disarticulation

Rates data updated July 2026.

Facilitymedian $355 · 10th–90th $204$8320%20%10th90th$355Professionalmedian $263 · 10th–90th $200$5250%20%40%10th90th$263$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
$199.53
Median
$295.12
Typical High
$295.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$295.12
Typical High
$1,995.26
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$1,548.82
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$263.03
Typical High
$407.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$446.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$407.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$275.42
Medica
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$354.81
Typical High
$977.24
Medica
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$239.88
Typical High
$2,884.03
United
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$354.81
Typical High
$446.68
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$218.78
Typical High
$346.74