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Test Socket, Knee Disarticulation

South Carolina rates for HCPCS L5622

Addition to lower extremity, test socket, knee disarticulation

Rates data updated July 2026.

Facilitymedian $288 · 10th–90th $195$5890%20%10th90th$288Professionalmedian $251 · 10th–90th $195$3240%20%10th90th$251$100.0$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
$194.98
Median
$194.98
Typical High
$194.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$251.19
Typical High
$323.59
BCBS
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$398.11
Typical High
$446.68
BCBS
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$380.19
Typical High
$549.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$275.42
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$562.34
Medcost
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$309.03
Medcost
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$363.08
Typical High
$741.31
Medcost
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
United
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$323.59
Typical High
$588.84
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$218.78
Typical High
$331.13