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Wisconsin rates for HCPCS L1080

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

Facilitymedian $65 · 10th–90th $52$1170%50%10th90th$65Professionalmedian $44 · 10th–90th $30$950%10%20%10th90th$44$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
$30.90 / $30.90 / $30.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $33.11 / $57.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $107.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $60.26 / $72.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $147.91 / $316.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $91.20 / $123.03
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $52.48 / $79.43
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $63.10 / $75.86
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $63.10 / $323.59
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $36.31 / $70.79
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $58.88 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102.33 / $102.33 / $102.33
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $72.44 / $125.89
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $97.72 / $194.98
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $128.82 / $338.84
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $58.88 / $398.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $36.31 / $64.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $31.62 / $56.23