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Manual Lock, Above-Knee, Knee or Hip Disarticulation

Wisconsin rates for HCPCS L5925

Addition, endoskeletal system, above knee (AK), knee disarticulation or hip disarticulation, manual lock

Rates data updated July 2026.

Facilitymedian $407 · 10th–90th $331$7410%50%10th90th$407Professionalmedian $380 · 10th–90th $200$7080%20%10th90th$380$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
$204.17
Median
$204.17
Typical High
$204.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$537.03
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$676.08
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$457.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$954.99
Typical High
$2,089.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$588.84
Typical High
$776.25
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$338.84
Typical High
$512.86
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$645.65
Typical High
$812.83
Medica
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$398.11
Typical High
$2,290.87
Medica
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$269.15
Typical High
$501.19
Molina
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$70.79
Typical High
$234.42
Network Health
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Network Health
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$467.74
Typical High
$812.83
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$338.84
Typical High
$512.86
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$407.38
Typical High
$524.81
Quartz
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$630.96
Typical High
$1,202.26
Quartz
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$831.76
Typical High
$2,344.23
Quartz
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$616.60
Typical High
$2,754.23
Security Health
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$371.54
Typical High
$380.19
United
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$302.00
Typical High
$407.38
United
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$245.47
Typical High
$407.38