go back

Test Socket, Knee Disarticulation

New Jersey rates for HCPCS L5622

Addition to lower extremity, test socket, knee disarticulation

Rates data updated July 2026.

Facilitymedian $214 · 10th–90th $214$5890%20%40%90th$214Professionalmedian $251 · 10th–90th $186$5750%10%20%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
$213.80
Median
$213.80
Typical High
$213.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$234.42
Typical High
$363.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$275.42
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$275.42
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$562.34
Typical High
$776.25
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$331.13
Typical High
$588.84
United
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$323.59
Typical High
$575.44