go back

Wisconsin rates for HCPCS L5331

Hip disarticulation, Canadian type, molded socket, endoskeletal system, hip joint, single axis knee, SACH foot

Facilitymedian $6,457 · 10th–90th $5,754–$11,7490%50%10th90th$6,457Professionalmedian $4,786 · 10th–90th $2,754–$9,7720%10%20%10th90th$4,786$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
$3,162.28 / $3,162.28 / $3,162.28
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $3,162.28 / $5,370.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,456.54 / $6,456.54 / $10,715.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,370.32 / $6,025.60 / $7,244.36
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $14,791.08 / $31,622.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,951.21 / $9,120.11 / $12,302.69
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,162.28 / $5,248.07 / $7,943.28
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,630.78 / $6,309.57 / $7,762.47
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,162.28 / $6,309.57 / $29,512.09
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,818.38 / $3,981.07 / $7,244.36
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $70.79 / $4,265.80
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,232.93 / $10,232.93 / $10,232.93
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,570.88 / $7,244.36 / $12,589.25
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,456.54 / $9,772.37 / $17,378.01
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $12,882.50 / $33,113.11
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,951.21 / $5,888.44 / $36,307.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $4,168.69 / $6,456.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,511.89 / $3,162.28 / $5,370.32