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Below Knee (BK), Molded Socket, Endoskeletal System

Wisconsin rates for HCPCS L5301

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

Rates data updated July 2026.

Facilitymedian $3,311 · 10th–90th $2,692$6,7610%50%10th90th$3,311Professionalmedian $3,090 · 10th–90th $1,622$5,3700%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
$1,621.81
Median
$5,888.44
Typical High
$12,589.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$3,311.31
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$5,495.41
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$3,090.30
Typical High
$3,715.35
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$7,585.78
Typical High
$16,982.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$4,786.30
Typical High
$6,309.57
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$2,691.53
Typical High
$4,073.80
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$3,981.07
Typical High
$5,011.87
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$3,235.94
Typical High
$14,791.08
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,949.84
Typical High
$3,630.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$70.79
Typical High
$2,187.76
Network Health
Setting
Facility
Modifier
Global
Typical Low
$5,248.07
Median
$5,248.07
Typical High
$5,248.07
Network Health
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$3,715.35
Typical High
$6,456.54
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$2,691.53
Typical High
$4,073.80
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$3,235.94
Typical High
$3,630.78
Quartz
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$4,897.79
Typical High
$8,317.64
Quartz
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$6,760.83
Typical High
$15,135.61
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$4,897.79
Typical High
$17,782.79
United
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$2,089.30
Typical High
$3,311.31
United
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,621.81
Typical High
$3,019.95