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Wisconsin rates for HCPCS L1230

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), Milwaukee type superstructure

Facilitymedian $813 · 10th–90th $661$1,4790%50%10th90th$813Professionalmedian $479 · 10th–90th $295$1,2300%20%10th90th$479$1.0$5.0$20.0$100.0$500.0$2.0K

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
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$407.38
Typical High
$562.34
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$1,348.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$758.58
Typical High
$912.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$1,905.46
Typical High
$3,981.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$1,174.90
Typical High
$1,548.82
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$660.69
Typical High
$1,023.29
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$724.44
Typical High
$977.24
Medica
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$812.83
Typical High
$3,388.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$398.11
Typical High
$870.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$70.79
Typical High
$363.08
Network Health
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,288.25
Network Health
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$933.25
Typical High
$1,621.81
Quartz
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,230.27
Typical High
$1,995.26
Quartz
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$1,621.81
Typical High
$3,388.44
Quartz
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$588.84
Typical High
$4,265.80
United
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$363.08
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$398.11
Typical High
$676.08