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Wisconsin rates for HCPCS L0220

Thoracic, Rib Belt, Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.52 / $78.52 / $78.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.52 / $80.00 / $124.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.65 / $171.22 / $283.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.61 / $144.75 / $191.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.97 / $333.09 / $333.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.21 / $321.75 / $649.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.93 / $225.47 / $294.58
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.44 / $117.78 / $179.00
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $137.97 / $186.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.93 / $155.65 / $706.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.64 / $81.53 / $169.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $66.43 / $110.72
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.44 / $117.78 / $179.00
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $137.97 / $186.78
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.65 / $239.56 / $412.52
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.21 / $304.00 / $706.68
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.93 / $86.21 / $910.65
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.65 / $155.65 / $155.65
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.65 / $155.65 / $155.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.90 / $77.65 / $138.00