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Wisconsin rates for HCPCS L5728

Addition, exoskeletal knee-shin system, single axis, fluid swing and stance phase control

Facilitymedian $2,951 · 10th–90th $2,570$5,3700%20%40%10th90th$2,951Professionalmedian $2,399 · 10th–90th $1,380$4,4670%20%10th90th$2,399$2.0$10.0$50.0$200.0$1.0K$5.0K

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
$1,479.11 / $1,479.11 / $1,479.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,288.25 / $1,659.59 / $2,570.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,951.21 / $2,951.21 / $4,897.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $2,754.23 / $3,311.31
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $6,760.83 / $14,454.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,513.56 / $4,168.69 / $5,623.41
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $2,454.71 / $3,630.78
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $2,884.03 / $3,801.89
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $2,884.03 / $15,135.61
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,348.96 / $1,949.84 / $3,467.37
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $70.79 / $1,905.46
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $4,677.35 / $4,677.35
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,089.30 / $3,311.31 / $5,754.40
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,951.21 / $4,466.84 / $8,912.51
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $5,888.44 / $18,197.01
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,513.56 / $3,019.95 / $19,498.45
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,862.09 / $2,137.96 / $2,951.21
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,513.56 / $2,511.89