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Test Socket, Knee Disarticulation

North Carolina rates for HCPCS L5622

Addition to lower extremity, test socket, knee disarticulation

Rates data updated July 2026.

Facilitymedian $355 · 10th–90th $214$8510%20%10th90th$355Professionalmedian $324 · 10th–90th $200$3310%50%10th90th$324$0.5$5.0$50.0$500.0$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
$323.59
Median
$323.59
Typical High
$323.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$323.59
Typical High
$323.59
BCBS
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$426.58
Typical High
$870.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$275.42
Typical High
$288.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$331.13
Medcost
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$288.40
Typical High
$338.84
Medcost
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$371.54
Typical High
$630.96
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$346.74
Typical High
$446.68
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$218.78
Typical High
$331.13
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$2,398.83
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$4,365.16