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Wisconsin rates for HCPCS L5828

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

Facilitymedian $3,631 · 10th–90th $3,020$6,6070%20%40%10th90th$3,631Professionalmedian $2,818 · 10th–90th $1,660$5,4950%10%20%10th90th$2,818$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
$1,778.28 / $1,778.28 / $1,778.28
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,513.56 / $1,905.46 / $2,951.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $3,630.78 / $6,025.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,388.44 / $3,388.44 / $4,073.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $8,317.64 / $17,782.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,548.82 / $5,128.61 / $6,918.31
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,778.28 / $2,951.21 / $4,466.84
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,235.94 / $4,897.79 / $6,165.95
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,778.28 / $3,548.13 / $17,782.79
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $2,344.23 / $4,168.69
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $70.79 / $2,398.83
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,754.40 / $5,754.40 / $5,754.40
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,570.40 / $4,073.80 / $7,079.46
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,630.78 / $5,495.41 / $10,715.19
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $7,244.36 / $20,892.96
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,548.82 / $3,090.30 / $20,892.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $2,570.40 / $3,630.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,412.54 / $1,862.09 / $3,019.95