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Wisconsin rates for HCPCS L1020

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, kyphosis pad

Facilitymedian $132 · 10th–90th $107$2400%50%10th90th$132Professionalmedian $78 · 10th–90th $51$2000%10%20%10th90th$78$0.1$0.5$2.0$10.0$50.0$200.0

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $64.57
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $64.57 / $89.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $131.83 / $218.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $123.03 / $147.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $302.00 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $186.21 / $251.19
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $107.15 / $162.18
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $158.49 / $194.98
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $128.82 / $524.81
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $64.57 / $141.25
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $58.88 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $208.93 / $208.93
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $147.91 / $257.04
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $199.53 / $309.03
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $263.03 / $616.60
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $107.15 / $758.58
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $56.23 / $131.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $64.57 / $107.15