Test socket for knee disarticulation prosthesis

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Knee Disarticulation Test Sckt

Payers reporting HCPCS L5622

Payer pricing summary

Low

$120

Average

$615

Median

$565

High

$1.7k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +14 other terms	359	$526	$587	$291	49%	—	$213 – $3.4k
2	UnitedHealthcare fee schedule · outpatient · +14 other terms	356	$521	$510	$131	26%	—	$217 – $1.7k
3	Humana fee schedule · outpatient · +13 other terms	317	$473	$795	$966	122%	—	$257 – $4.6k
4	Blue Cross Blue Shield fee schedule · outpatient · +11 other terms	218	$580	$652	$355	54%	—	$0 – $2.9k
5	WellCare fee schedule · outpatient · +6 other terms	208	$559	$580	$126	22%	—	$435 – $1.2k
6	Devoted fee schedule · outpatient · +4 other terms	165	$444	$540	$73	13%	—	$426 – $633
7	Molina fee schedule · outpatient · +6 other terms	138	$745	$775	$307	40%	—	$274 – $1.6k
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$475	$552	$59	11%	—	$444 – $609
9	Cigna fee schedule · outpatient · +12 other terms	102	$466	$566	$191	34%	—	$426 – $1.5k
10	Anthem fee schedule · outpatient · +8 other terms	80	$444	$658	$656	100%	—	$259 – $3.7k
11	Kaiser fee schedule · outpatient · +5 other terms	64	$453	$792	$610	77%	—	$426 – $3.8k
12	Ambetter facility · fee schedule · outpatient · +5 other terms	46	$820	$856	$167	20%	—	$435 – $1.2k
13	Superior Healthplan fee schedule · outpatient	40	$621	$621	$3	0%	—	$580 – $621
14	Clover fee schedule · outpatient · +3 other terms	37	$580	$550	$64	12%	—	$444 – $621
15	Oscar fee schedule · outpatient · +3 other terms	36	$580	$595	$115	19%	—	$466 – $789
16	Optum fee schedule · outpatient · +4 other terms	33	$444	$684	$370	54%	—	$426 – $1.5k
17	Caresource fee schedule · outpatient · +4 other terms	28	$444	$496	$154	31%	—	$259 – $760
18	Medica facility · fee schedule · outpatient · +5 other terms	22	$503	$456	$116	25%	—	$164 – $744
19	Regence facility · fee schedule · outpatient · +4 other terms	19	$462	$464	$15	3%	—	$427 – $490
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$533	$528	$10	2%	—	$506 – $533
21	Bcbs Tx fee schedule · outpatient	18	$580	$580	—	—	—	$580 – $580
22	Medicare fee schedule · outpatient · +3 other terms	18	$426	$428	$3	1%	—	$426 – $435
23	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$492	$567	$140	25%	—	$268 – $777
24	Highmark facility · fee schedule · outpatient · +4 other terms	14	$954	$928	$386	42%	—	$499 – $1.6k
25	Tricare facility · fee schedule · outpatient · +2 other terms	14	$520	$517	$52	10%	—	$435 – $592

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