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Wisconsin rates for HCPCS L5646

Addition to lower extremity, below knee (BK), air, fluid, gel or equal, cushion socket

Facilitymedian $759 · 10th–90th $631–$1,3800%20%40%10th90th$759Professionalmedian $537 · 10th–90th $324–$1,1480%20%10th90th$537$1.0$5.0$20.0$100.0$500.0$2.0K

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
$371.54 / $371.54 / $371.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $371.54 / $630.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $758.58 / $1,258.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $707.95 / $851.14
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $1,737.80 / $3,715.35
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $1,071.52 / $1,445.44
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $616.60 / $933.25
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $676.08 / $912.01
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $741.31 / $3,467.37
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $467.74 / $851.14
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $70.79 / $446.68
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,202.26 / $1,202.26
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $851.14 / $1,479.11
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $1,148.15 / $2,089.30
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $1,513.56 / $3,467.37
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $602.56 / $4,265.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $489.78 / $758.58
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $371.54 / $645.65