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Wisconsin rates for HCPCS L5987

All lower extremity prostheses, shank foot system with vertical loading pylon

Facilitymedian $8,913 · 10th–90th $7,244–$16,2180%50%10th90th$8,913Professionalmedian $6,457 · 10th–90th $3,802–$13,1830%10%20%10th90th$6,457$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
$4,365.16 / $4,365.16 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,715.35 / $4,365.16 / $7,244.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,912.51 / $8,912.51 / $14,454.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,317.64 / $8,317.64 / $10,000.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $20,417.38 / $43,651.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,365.16 / $12,589.25 / $16,595.87
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $7,079.46 / $10,964.78
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,943.28 / $10,471.29 / $13,182.57
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $8,709.64 / $40,738.03
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,890.45 / $5,495.41 / $9,772.37
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $70.79 / $5,623.41
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,125.38 / $14,125.38 / $14,125.38
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,309.57 / $10,000.00 / $17,378.01
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,912.51 / $13,182.57 / $24,547.09
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $17,782.79 / $40,738.03
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,365.16 / $8,912.51 / $43,651.58
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,570.88 / $5,888.44 / $8,912.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,388.44 / $4,365.16 / $7,244.36