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Wisconsin rates for HCPCS L1030

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

Facilitymedian $95 · 10th–90th $78$1740%20%40%10th90th$95Professionalmedian $52 · 10th–90th $36$1450%20%10th90th$52$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
$46.77 / $46.77 / $46.77
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $46.77 / $64.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $95.50 / $158.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $89.13 / $107.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $223.87 / $467.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $138.04 / $181.97
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $77.62 / $120.23
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $112.20 / $138.04
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $93.33 / $380.19
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $46.77 / $102.33
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $58.88 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $151.36 / $151.36
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $109.65 / $190.55
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $144.54 / $223.87
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $190.55 / $380.19
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $77.62 / $467.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $41.69 / $95.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $46.77 / $77.62