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Knee Extension Assist, Above-Knee or Hip Disarticulation

Wisconsin rates for HCPCS L5850

Addition, endoskeletal system, above knee (AK) or hip disarticulation, knee extension assist

Rates data updated July 2026.

Facilitymedian $155 · 10th–90th $120$2820%20%40%10th90th$155Professionalmedian $145 · 10th–90th $76$2630%20%10th90th$145$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

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
$77.62
Median
$77.62
Typical High
$77.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$154.88
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$257.04
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$144.54
Typical High
$173.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$363.08
Typical High
$794.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$223.87
Typical High
$295.12
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$125.89
Typical High
$194.98
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$245.47
Typical High
$295.12
Medica
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$151.36
Typical High
$794.33
Medica
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$102.33
Typical High
$173.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$64.57
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Network Health
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$177.83
Typical High
$309.03
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$125.89
Typical High
$194.98
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$154.88
Quartz
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$239.88
Typical High
$457.09
Quartz
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$316.23
Typical High
$812.83
Quartz
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$234.42
Typical High
$1,047.13
Security Health
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$141.25
Typical High
$144.54
United
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$114.82
Typical High
$154.88
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$81.28
Typical High
$154.88