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Wisconsin rates for HCPCS L1040

Addition To Ctlso Or Scoliosis Orthosis Lumbar Or Lumbar Rib Pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.89 / $53.89 / $53.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.89 / $57.60 / $74.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.82 / $117.50 / $194.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.13 / $99.34 / $131.38
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.84 / $228.59 / $228.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.78 / $220.45 / $446.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.75 / $154.69 / $202.18
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.31 / $80.84 / $122.84
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.17 / $106.82 / $128.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.00 / $106.82 / $471.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.56 / $53.29 / $116.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.87 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.31 / $80.84 / $122.84
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.17 / $106.82 / $128.18
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.82 / $164.39 / $262.97
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.78 / $208.64 / $471.51
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.75 / $66.78 / $668.93
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.82 / $106.82 / $106.82
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.82 / $106.82 / $106.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.62 / $140.62 / $140.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $53.29 / $102.14