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Wisconsin rates for HCPCS L5856

Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type

Facilitymedian $29,512 · 10th–90th $26,303$53,7030%20%40%10th90th$29,512Professionalmedian $21,380 · 10th–90th $12,589$44,6680%20%10th90th$21,380$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$14,454.40 / $14,454.40 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,589.25 / $14,454.40 / $24,547.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29,512.09 / $29,512.09 / $48,977.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24,547.09 / $27,542.29 / $33,113.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $67,608.30 / $144,543.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,748.98 / $41,686.94 / $56,234.13
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,454.40 / $23,988.33 / $36,307.81
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26,302.68 / $35,481.34 / $43,651.58
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,454.40 / $28,840.32 / $134,896.29
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13,182.57 / $18,620.87 / $32,359.37
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $64.57 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46,773.51 / $46,773.51 / $46,773.51
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20,892.96 / $33,113.11 / $57,543.99
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29,512.09 / $44,668.36 / $81,283.05
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $58,884.37 / $134,896.29
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,748.98 / $23,442.29 / $144,543.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,488.17 / $19,498.45 / $29,512.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,220.18 / $14,454.40 / $23,988.33