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Exoskeletal Hip Disarticulation System, Ultra-Light

Wisconsin rates for HCPCS L5795

Addition, exoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal)

Rates data updated July 2026.

Facilitymedian $1,318 · 10th–90th $1,072$2,3990%50%10th90th$1,318Professionalmedian $1,230 · 10th–90th $646$2,2390%20%10th90th$1,230$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$1,737.80
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$2,187.76
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,230.27
Typical High
$1,479.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$3,019.95
Typical High
$6,760.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,905.46
Typical High
$2,511.89
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$1,071.52
Typical High
$1,621.81
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,288.25
Typical High
$1,548.82
Medica
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$1,288.25
Typical High
$6,760.83
Medica
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$851.14
Typical High
$1,479.11
Molina
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$70.79
Typical High
$870.96
Network Health
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,089.30
Network Health
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,479.11
Typical High
$2,570.40
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$1,071.52
Typical High
$1,621.81
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,288.25
Typical High
$1,348.96
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,995.26
Typical High
$3,890.45
Quartz
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$2,691.53
Typical High
$6,918.31
Quartz
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,949.84
Typical High
$8,709.64
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$977.24
Typical High
$1,318.26
United
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$691.83
Typical High
$1,258.93