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Wisconsin rates for HCPCS L5321

Above knee (AK), molded socket, open end, SACH foot, endoskeletal system, single axis knee

Facilitymedian $4,365 · 10th–90th $3,890–$7,9430%50%10th90th$4,365Professionalmedian $3,388 · 10th–90th $1,950–$6,6070%20%10th90th$3,388$5.0$20.0$100.0$500.0$2.0K$10.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,187.76 / $2,187.76 / $2,187.76
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,949.84 / $2,187.76 / $4,073.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $4,365.16 / $7,244.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,981.07 / $4,073.80 / $4,897.79
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $10,232.93 / $21,379.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $6,309.57 / $8,317.64
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,187.76 / $3,548.13 / $5,495.41
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,890.45 / $5,754.40 / $7,244.36
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,187.76 / $4,265.80 / $20,892.96
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,949.84 / $2,818.38 / $4,897.79
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $70.79 / $2,884.03
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,918.31 / $6,918.31 / $6,918.31
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,090.30 / $5,011.87 / $8,709.64
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,365.16 / $6,606.93 / $12,302.69
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $8,709.64 / $25,118.86
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $3,630.78 / $27,542.29
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $2,951.21 / $4,365.16
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $2,137.96 / $3,715.35