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Wisconsin rates for HCPCS L1120

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO), scoliosis orthosis, cover for upright, each

Facilitymedian $47 · 10th–90th $42$850%20%40%10th90th$47Professionalmedian $33 · 10th–90th $22$710%20%10th90th$33$0.1$0.2$1.0$5.0$20.0$100.0$500.0

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
$22.91 / $22.91 / $22.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $22.91 / $37.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $77.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $43.65 / $52.48
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $107.15 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $66.07 / $89.13
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $38.02 / $57.54
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $56.23 / $67.61
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $45.71 / $239.88
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $26.30 / $52.48
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $54.95 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $74.13 / $74.13
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $52.48 / $91.20
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $70.79 / $141.25
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $93.33 / $281.84
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $43.65 / $467.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $26.30 / $46.77
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $22.91 / $38.90