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Wisconsin rates for HCPCS L5634

Addition to lower extremity, Symes type, posterior opening (Canadian) socket

Facilitymedian $417 · 10th–90th $339$7590%50%10th90th$417Professionalmedian $309 · 10th–90th $178$6170%10%20%10th90th$309$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
$204.17 / $204.17 / $204.17
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $208.93 / $338.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $416.87 / $691.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $389.05 / $467.74
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $954.99 / $2,041.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $588.84 / $776.25
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $338.84 / $512.86
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $407.38 / $489.78
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $407.38 / $1,949.84
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $263.03 / $457.09
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $70.79 / $275.42
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $660.69 / $660.69
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $467.74 / $812.83
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $616.60 / $1,148.15
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $831.76 / $2,290.87
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $398.11 / $2,754.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $275.42 / $416.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $204.17 / $346.74