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Test Socket, Knee Disarticulation

New Hampshire rates for HCPCS L5622

Addition to lower extremity, test socket, knee disarticulation

Rates data updated July 2026.

Facilitymedian $550 · 10th–90th $302$6760%20%10th90th$550Professionalmedian $363 · 10th–90th $251$4790%20%10th90th$363$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
$302.00
Median
$302.00
Typical High
$363.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$302.00
Typical High
$363.08
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$588.84
Typical High
$676.08
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$398.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$275.42
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$870.96
United
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$295.12
Typical High
$323.59
United
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$331.13
Typical High
$478.63
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$776.25