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Wisconsin rates for HCPCS K0672

Addition To Lower Extremity Orthosis Removable Soft Interface All Components Replacement Only Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.08 / $68.08 / $68.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.22 / $63.22 / $80.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.18 / $112.40 / $185.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.03 / $95.03 / $125.68
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.51 / $218.67 / $218.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.47 / $181.23 / $492.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.91 / $170.18 / $193.39
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.87 / $102.12 / $122.54
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.62 / $122.62 / $122.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.68 / $111.82 / $476.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.64 / $54.29 / $111.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $81.89
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.87 / $102.12 / $122.54
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.62 / $122.62 / $122.62
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.18 / $157.27 / $274.01
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.58 / $199.58 / $476.75
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.91 / $85.76 / $514.42
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.18 / $102.18 / $102.18
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.18 / $102.18 / $102.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.72 / $52.60 / $97.72