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Below Knee (BK), Molded Socket, Shin, SACH Foot

Wisconsin rates for HCPCS L5100

Below knee (BK), molded socket, shin, SACH foot

Rates data updated July 2026.

Facilitymedian $3,388 · 10th–90th $2,570$6,1660%50%10th90th$3,388Professionalmedian $3,090 · 10th–90th $1,660$5,4950%10%20%10th90th$3,090$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
$1,659.59
Median
$1,659.59
Typical High
$1,659.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$2,884.03
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$3,388.44
Typical High
$5,495.41
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$3,090.30
Typical High
$3,801.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$7,762.47
Typical High
$16,982.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$4,897.79
Typical High
$6,309.57
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$2,691.53
Typical High
$4,168.69
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$4,265.80
Typical High
$5,370.32
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$3,311.31
Typical High
$14,791.08
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,995.26
Typical High
$3,715.35
Molina
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$70.79
Typical High
$1,995.26
Network Health
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$5,370.32
Typical High
$5,370.32
Network Health
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$3,801.89
Typical High
$6,606.93
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$2,691.53
Typical High
$4,168.69
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$3,235.94
Typical High
$3,311.31
Quartz
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$5,011.87
Typical High
$8,317.64
Quartz
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$6,760.83
Typical High
$14,791.08
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$5,011.87
Typical High
$17,378.01
United
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$2,089.30
Typical High
$3,388.44
United
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,659.59
Typical High
$3,019.95