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Test Socket, Knee Disarticulation

Texas rates for HCPCS L5622

Addition to lower extremity, test socket, knee disarticulation

Rates data updated July 2026.

Facilitymedian $447 · 10th–90th $251$9120%10%20%10th90th$447Professionalmedian $275 · 10th–90th $200$5130%20%10th90th$275$0.5$2.0$10.0$50.0$200.0$1.0K$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
$251.19
Median
$309.03
Typical High
$676.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$275.42
Typical High
$512.86
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,548.13
Typical High
$4,786.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$588.84
Typical High
$588.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$691.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$275.42
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$2,398.83
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$4,365.16
Typical High
$4,365.16
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$436.52
Typical High
$724.44
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$501.19
Typical High
$588.84
Molina
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$346.74
Providence
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$436.52
Typical High
$724.44
Providence
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$275.42
United
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$478.63
Typical High
$588.84
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$275.42
Typical High
$331.13
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$588.84
Typical High
$794.33