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Wisconsin rates for HCPCS L1030

Addi To Cervic-Thoracic-Lumbar-Sacral Orthotic (Ctlso) Or Scol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.59 / $47.59 / $47.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.38 / $47.59 / $86.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.34 / $103.77 / $171.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.90 / $87.74 / $116.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.87 / $201.89 / $201.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.95 / $195.12 / $393.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.65 / $136.88 / $178.55
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.08 / $71.39 / $108.49
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.01 / $75.06 / $113.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.96 / $94.34 / $377.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.43 / $47.06 / $102.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.96 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.08 / $71.39 / $108.49
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.01 / $75.06 / $113.21
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.34 / $141.51 / $214.79
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.95 / $184.26 / $377.30
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.65 / $52.95 / $472.97
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.34 / $94.34 / $94.34
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.34 / $94.34 / $94.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.47 / $47.06 / $94.34