Check your spring stacks for broken leaves - also shackles and bushings for worn rubber.
Assuming the rear tires are the same size, the axle should be level. The leaf spring stack is clamped to the axle on the bottom.
The end of the spring stacks supports the frame by bushings (front) and the frame hangs from shackles (back).
So if the truck is on level ground (and the tires are the same OD), the axle should be level. The springs connect the axle to the frame and the bed rides (metal to metal) on the frame rails.
So if the bed looks skewed, the only variable from left to right, is a difference in the height of the leaf spring stack/shackle group. This assumes a non-twisted frame.
A cracked leaf within the stack is many times difficult to spot. To identify a weak spring group (which would cause a reduced axle to frame height), measure from the top of the axle straight up to the bottom of the frame. Compare the distance from left to right.
Look at this bed-off image of a K30, it will help explain:
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