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Wisconsin rates for HCPCS 29515

Application Short Leg Splint Calf Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.43 / $274.89 / $523.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.04 / $84.07 / $343.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.00 / $2,479.00 / $4,441.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.85 / $110.86 / $280.30
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$97.21 / $166.29 / $439.39
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.37 / $59.52 / $120.12
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.55 / $70.93 / $94.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.64 / $227.45 / $348.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.59 / $159.57 / $316.87
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.04 / $73.31 / $153.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.38 / $101.03 / $1,309.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.17 / $176.02 / $544.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.03 / $85.00 / $163.35
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.04 / $73.31 / $153.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.92 / $172.37 / $254.07
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.72 / $93.72 / $233.92
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.82 / $311.18 / $544.96
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.03 / $316.61 / $470.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,034.00 / $1,423.00 / $2,202.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.09 / $147.13 / $302.39