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Thoracic, Rib Belt, Custom Fabricated

Wisconsin rates for HCPCS L0220

Thoracic, rib belt, custom fabricated

Rates data updated July 2026.

Facilitymedian $158 · 10th–90th $117$3240%50%10th90th$158Professionalmedian $148 · 10th–90th $78$2630%10%20%10th90th$148$0.1$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
$77.62
Median
$77.62
Typical High
$77.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$125.89
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$263.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$147.91
Typical High
$177.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$363.08
Typical High
$812.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$229.09
Typical High
$302.00
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$128.82
Typical High
$194.98
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$141.25
Typical High
$190.55
Medica
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$154.88
Typical High
$707.95
Medica
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$81.28
Typical High
$173.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$70.79
Typical High
$109.65
Network Health
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Network Health
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$177.83
Typical High
$309.03
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$128.82
Typical High
$194.98
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$138.04
Typical High
$154.88
Quartz
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$239.88
Typical High
$416.87
Quartz
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$323.59
Typical High
$724.44
Quartz
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$234.42
Typical High
$933.25
United
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$79.43
Typical High
$158.49
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$83.18
Typical High
$186.21