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Wisconsin rates for HCPCS L5684

Addition to lower extremity, below knee, fork strap

Facilitymedian $59 · 10th–90th $50$1070%20%40%10th90th$59Professionalmedian $48 · 10th–90th $28$890%20%10th90th$48$0.1$0.5$2.0$10.0$50.0$200.0

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
$28.84 / $28.84 / $28.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $28.84 / $50.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $58.88 / $97.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $54.95 / $64.57
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $134.90 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $83.18 / $112.20
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $48.98 / $72.44
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $89.13 / $112.20
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $57.54 / $302.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $38.02 / $70.79
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $58.88 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93.33 / $93.33 / $93.33
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $66.07 / $114.82
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $91.20 / $181.97
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $117.49 / $363.08
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $54.95 / $575.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $43.65 / $61.66
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $30.20 / $48.98