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Wisconsin rates for HCPCS L5686

Addition to lower extremity, below knee (BK), back check (extension control)

Facilitymedian $71 · 10th–90th $58$1290%50%10th90th$71Professionalmedian $50 · 10th–90th $31$1070%20%10th90th$50$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
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$34.67
Typical High
$56.23
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$117.49
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$66.07
Typical High
$79.43
Cigna
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$162.18
Typical High
$346.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$100.00
Typical High
$134.90
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$57.54
Typical High
$87.10
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$69.18
Typical High
$85.11
Medica
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$69.18
Typical High
$331.13
Medica
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$43.65
Typical High
$77.62
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$58.88
Typical High
$74.13
Network Health
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Network Health
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$79.43
Typical High
$138.04
Quartz
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$107.15
Typical High
$194.98
Quartz
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$141.25
Typical High
$354.81
Quartz
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$66.07
Typical High
$389.05
United
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$45.71
Typical High
$70.79
United
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$34.67
Typical High
$57.54