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Wisconsin rates for HCPCS L5341

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

Facilitymedian $6,918 · 10th–90th $6,166–$12,5890%50%10th90th$6,918Professionalmedian $5,012 · 10th–90th $2,951–$10,2330%20%10th90th$5,012$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$3,388.44 / $3,388.44 / $3,388.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $3,388.44 / $5,623.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,918.31 / $6,918.31 / $11,220.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,309.57 / $6,309.57 / $7,585.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $15,848.93 / $33,884.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,754.23 / $9,772.37 / $12,882.50
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,388.44 / $5,495.41 / $8,511.38
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,801.89 / $6,760.83 / $8,128.31
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,388.44 / $6,760.83 / $32,359.37
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,090.30 / $4,365.16 / $7,585.78
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $70.79 / $4,570.88
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,715.19 / $10,715.19 / $10,715.19
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,897.79 / $7,762.47 / $13,489.63
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,918.31 / $10,232.93 / $19,054.61
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $13,489.63 / $38,018.94
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,754.23 / $5,495.41 / $52,480.75
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $4,570.88 / $6,918.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $3,388.44 / $5,754.40