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Wisconsin rates for HCPCS L1280

Addi To Thoracic-Lumbar-Sacral Orthotic (Tlso), (Low Profile), R

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.11 / $53.11 / $53.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.16 / $53.11 / $89.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.28 / $115.81 / $191.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.91 / $97.91 / $129.49
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.73 / $225.30 / $225.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.27 / $217.64 / $439.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.49 / $152.34 / $199.25
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.30 / $79.67 / $121.07
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $105.28 / $129.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.11 / $105.28 / $510.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.83 / $56.57 / $118.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.30 / $79.67 / $121.07
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $105.28 / $129.59
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.28 / $162.01 / $291.07
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.27 / $205.62 / $510.63
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.49 / $73.27 / $673.20
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.28 / $105.28 / $105.28
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.28 / $105.28 / $105.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.40 / $52.52 / $93.34