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Flexible Inner Socket, External Frame, Hip Disarticulation

Wisconsin rates for HCPCS L5643

Addition to lower extremity, hip disarticulation, flexible inner socket, external frame

Rates data updated July 2026.

How much does Flexible Inner Socket, External Frame, Hip Disarticulation cost?

$2,399

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $2,399 for this service. The price depends on where it is billed: about $2,291 from a physician practice, and about $2,455 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 10 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,291$1,230 to $2,455
FacilityA hospital or hospital-owned outpatient department$2,455$2,455 to $3,020

How much rates vary

Facilitymedian $2,455 · 10th to 90th $1,862 to $4,467Professionalmedian $2,291 · 10th to 90th $1,175 to $3,890
$10.0$100.0$1.0K$10.0Kfacility $2,455professional $2,291

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,230.27
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,862.09
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$4,073.80
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$2,754.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$5,623.41
Typical High
$12,589.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$3,548.13
Typical High
$4,677.35
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,995.26
Typical High
$3,019.95
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$2,187.76
Typical High
$2,951.21
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$2,398.83
Typical High
$9,772.37
Medica
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,380.38
Typical High
$2,630.27
Molina
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$70.79
Typical High
$1,513.56
Network Health
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$3,890.45
Network Health
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,754.23
Typical High
$4,786.30
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,995.26
Typical High
$3,019.95
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,862.09
Typical High
$2,398.83
Quartz
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$3,630.78
Typical High
$5,623.41
Quartz
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$5,011.87
Typical High
$10,000.00
Quartz
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$3,715.35
Typical High
$12,589.25
United
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,412.54
Typical High
$2,454.71
United
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,202.26
Typical High
$2,089.30

Where Wisconsin sits

The same service costs 2.9 times more in Minnesota than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Wisconsin $2,399 · 2nd of 51
MN $2,399DE $832

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.