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Wisconsin rates for HCPCS L5629

Addition to lower extremity, below knee, acrylic socket

Facilitymedian $389 · 10th–90th $339$7080%20%40%10th90th$389Professionalmedian $295 · 10th–90th $182$5890%20%10th90th$295$0.5$2.0$10.0$50.0$200.0$1.0K

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
$190.55 / $190.55 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $223.87 / $338.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $389.05 / $645.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $363.08 / $436.52
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $891.25 / $1,905.46
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $549.54 / $741.31
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $316.23 / $478.63
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $616.60 / $758.58
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $380.19 / $1,995.26
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $251.19 / $436.52
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $70.79 / $257.04
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $616.60 / $616.60
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $436.52 / $758.58
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $602.56 / $1,202.26
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $776.25 / $1,995.26
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $363.08 / $2,511.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $288.40 / $389.05
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $190.55 / $323.59