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Wisconsin rates for HCPCS L5857

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

Facilitymedian $10,471 · 10th–90th $9,333$19,0550%50%10th90th$10,471Professionalmedian $7,586 · 10th–90th $4,571$15,8490%10%20%10th90th$7,586$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$5,128.61 / $5,128.61 / $5,128.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,466.84 / $5,128.61 / $8,709.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,471.29 / $10,471.29 / $17,378.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,772.37 / $9,772.37 / $11,748.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $23,988.33 / $51,286.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,897.79 / $14,791.08 / $19,952.62
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,128.61 / $8,511.38 / $12,882.50
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,888.44 / $10,000.00 / $12,589.25
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,128.61 / $10,232.93 / $47,863.01
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,677.35 / $6,606.93 / $11,481.54
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
$16,595.87 / $16,595.87 / $16,595.87
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,413.10 / $11,748.98 / $20,417.38
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,471.29 / $15,848.93 / $28,840.32
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $20,892.96 / $47,863.01
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,897.79 / $9,772.37 / $51,286.14
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,495.41 / $6,918.31 / $10,471.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,981.07 / $5,128.61 / $8,511.38