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Wisconsin rates for HCPCS L0999

Addition to spinal orthosis, not otherwise specified

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.10 / $220.10 / $220.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.53 / $113.53 / $113.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $85.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $65.00 / $113.53
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.10 / $220.10 / $220.10