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Wisconsin rates for HCPCS L1270

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), abdominal pad

Facilitymedian $102 · 10th–90th $83$1860%50%10th90th$102Professionalmedian $63 · 10th–90th $44$1510%20%10th90th$63$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
$50.12 / $50.12 / $50.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $50.12 / $69.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102.33 / $102.33 / $169.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $95.50 / $112.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $234.42 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $144.54 / $194.98
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $83.18 / $125.89
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $120.23 / $147.91
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $100.00 / $467.74
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $51.29 / $112.20
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $70.79 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $162.18 / $162.18
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $114.82 / $199.53
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $151.36 / $275.42
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $204.17 / $549.54
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $93.33 / $691.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $51.29 / $102.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $50.12 / $83.18