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Wisconsin rates for HCPCS L5990

Addition to lower extremity prosthesis, user adjustable heel height

Facilitymedian $2,239 · 10th–90th $1,995$4,0740%50%10th90th$2,239Professionalmedian $1,622 · 10th–90th $955$3,3880%10%20%10th90th$1,622$2.0$10.0$50.0$200.0$1.0K$5.0K

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
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,096.48
Typical High
$1,819.70
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$3,715.35
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,089.30
Typical High
$2,511.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$5,128.61
Typical High
$10,964.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$3,162.28
Typical High
$4,265.80
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,819.70
Typical High
$2,754.23
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,691.53
Typical High
$3,388.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$2,187.76
Typical High
$10,232.93
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,412.54
Typical High
$2,454.71
Molina
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$64.57
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$3,548.13
Network Health
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$2,511.89
Typical High
$4,365.16
Quartz
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$3,388.44
Typical High
$6,165.95
Quartz
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$4,466.84
Typical High
$10,232.93
Quartz
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,778.28
Typical High
$10,964.78
United
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,479.11
Typical High
$2,238.72
United
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,096.48
Typical High
$1,819.70