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Test Socket, Knee Disarticulation

Nebraska rates for HCPCS L5622

Addition to lower extremity, test socket, knee disarticulation

Rates data updated July 2026.

Facilitymedian $447 · 10th–90th $282$9770%20%10th90th$447Professionalmedian $251 · 10th–90th $229$3310%50%10th90th$251$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
Facility
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$251.19
Typical High
$281.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$426.58
Typical High
$426.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$489.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$562.34
Typical High
$912.01
Medica
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$489.78
Typical High
$2,344.23
Medica
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$269.15
Typical High
$467.74
Midlands
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$1,174.90
Midlands
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Midlands
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$1,096.48
Typical High
$1,174.90
United
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$354.81
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$269.15
Typical High
$363.08