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Wisconsin rates for HCPCS L5656

Addition to lower extremity, socket insert, knee disarticulation (Kemblo, Pelite, Aliplast, Plastazote or equal)

Facilitymedian $525 · 10th–90th $437$9550%50%10th90th$525Professionalmedian $389 · 10th–90th $214$7940%10%20%10th90th$389$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
$263.03 / $263.03 / $263.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $263.03 / $398.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $524.81 / $870.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $489.78 / $588.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $1,230.27 / $2,630.27
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $758.58 / $1,000.00
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $426.58 / $660.69
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $524.81 / $630.96
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $524.81 / $2,344.23
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $316.23 / $588.84
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $70.79 / $309.03
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $831.76 / $831.76
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $602.56 / $1,047.13
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $794.33 / $1,412.54
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $1,047.13 / $2,818.38
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $489.78 / $2,951.21
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $331.13 / $524.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $257.04 / $446.68