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Wisconsin rates for HCPCS L1025

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

Facilitymedian $191 · 10th–90th $155$3470%20%40%10th90th$191Professionalmedian $102 · 10th–90th $65$2820%20%10th90th$102$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
$93.33
Median
$93.33
Typical High
$93.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$91.20
Typical High
$125.89
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$316.23
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$177.83
Typical High
$213.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$436.52
Typical High
$933.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$269.15
Typical High
$363.08
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$154.88
Typical High
$234.42
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$177.83
Typical High
$213.80
Medica
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$186.21
Typical High
$758.58
Medica
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$93.33
Typical High
$204.17
Molina
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$70.79
Typical High
$123.03
Network Health
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
Network Health
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$213.80
Typical High
$371.54
Quartz
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$288.40
Typical High
$446.68
Quartz
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$380.19
Typical High
$831.76
Quartz
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$128.82
Typical High
$891.25
United
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$81.28
Typical High
$190.55
United
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$93.33
Typical High
$151.36