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Wisconsin rates for HCPCS L5632

Addition to lower extremity, Symes type, PTB brim design socket

Facilitymedian $331 · 10th–90th $269$6030%50%10th90th$331Professionalmedian $234 · 10th–90th $126$5010%10%20%10th90th$234$0.2$1.0$5.0$20.0$100.0$500.0

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
$162.18 / $162.18 / $162.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $162.18 / $257.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $331.13 / $549.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $309.03 / $371.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $758.58 / $1,621.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $467.74 / $630.96
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $269.15 / $407.38
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $398.11 / $489.78
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $323.59 / $1,380.38
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $194.98 / $363.08
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $70.79 / $177.83
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $524.81 / $524.81
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $371.54 / $645.65
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $501.19 / $831.76
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $660.69 / $1,380.38
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $245.47 / $1,778.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $199.53 / $331.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $162.18 / $269.15