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Wisconsin rates for HCPCS L5210

Above knee (AK), short prosthesis, no knee joint (stubbies), with foot blocks, no ankle joints, each

Facilitymedian $3,548 · 10th–90th $2,951$6,4570%50%10th90th$3,548Professionalmedian $2,455 · 10th–90th $1,413$5,3700%20%10th90th$2,455$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
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,737.80
Typical High
$2,951.21
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$5,888.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$3,311.31
Typical High
$3,890.45
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$8,128.31
Typical High
$17,378.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$5,011.87
Typical High
$6,760.83
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$2,884.03
Typical High
$4,365.16
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$3,467.37
Typical High
$4,265.80
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$3,467.37
Typical High
$15,488.17
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$2,089.30
Typical High
$3,890.45
Molina
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$70.79
Typical High
$1,621.81
Network Health
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$5,623.41
Typical High
$5,623.41
Network Health
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$3,981.07
Typical High
$6,918.31
Quartz
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$5,370.32
Typical High
$9,120.11
Quartz
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$7,079.46
Typical High
$16,982.44
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$2,630.27
Typical High
$19,054.61
United
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$2,187.76
Typical High
$3,548.13
United
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,737.80
Typical High
$2,884.03