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Wisconsin rates for HCPCS L0976

Lumbar-Sacral Orthotic (Lso), Full Corset

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.87 / $90.87 / $90.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.87 / $114.06 / $216.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.14 / $198.15 / $327.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.80 / $167.53 / $221.57
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.59 / $385.50 / $385.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.53 / $372.43 / $751.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.07 / $300.02 / $340.94
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.02 / $135.40 / $207.16
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.14 / $180.14 / $216.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.87 / $180.01 / $947.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.59 / $104.85 / $196.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $91.22
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.02 / $136.31 / $207.16
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.14 / $180.14 / $216.17
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.14 / $277.23 / $538.99
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.53 / $351.84 / $947.19
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.07 / $116.53 / $1,138.23
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.14 / $180.14 / $180.14
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.85 / $180.14 / $180.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.72 / $91.72 / $91.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.77 / $89.87 / $172.26