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Wisconsin rates for HCPCS L1110

Addition To Ctlso Or Scoliosis Orthosis Ring Flange Plastic Or Leather Molded To Patient Model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.53 / $193.53 / $193.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.63 / $193.53 / $278.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.64 / $422.00 / $698.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.27 / $356.79 / $471.87
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.99 / $820.99 / $820.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.30 / $792.69 / $1,601.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.47 / $555.94 / $726.08
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.67 / $290.30 / $441.19
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.66 / $383.64 / $460.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.41 / $383.64 / $1,533.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.54 / $191.39 / $417.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $160.29
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.67 / $290.30 / $441.19
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.66 / $383.64 / $460.37
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.64 / $575.46 / $861.17
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.30 / $749.30 / $1,533.12
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.47 / $225.30 / $2,110.67
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.64 / $383.64 / $383.64
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.64 / $383.64 / $383.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.37 / $460.37 / $460.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.60 / $191.39 / $358.86