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Wisconsin rates for HCPCS L5816

Addition, endoskeletal knee-shin system, polycentric, mechanical stance phase lock

Facilitymedian $1,047 · 10th–90th $851$1,9050%50%10th90th$1,047Professionalmedian $776 · 10th–90th $479$1,5490%20%10th90th$776$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $512.86 / $512.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $512.86 / $870.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,047.13 / $1,737.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $977.24 / $1,148.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $2,398.83 / $5,128.61
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $1,479.11 / $1,949.84
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $831.76 / $1,288.25
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $1,023.29 / $1,348.96
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $1,023.29 / $5,370.32
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $676.08 / $1,230.27
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $70.79 / $354.81
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $1,659.59 / $1,659.59
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $1,174.90 / $2,041.74
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,621.81 / $3,235.94
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $2,089.30 / $6,456.54
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $954.99 / $8,317.64
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $758.58 / $1,047.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $512.86 / $870.96