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Wisconsin rates for HCPCS L1300

Other scoliosis procedure, body jacket molded to patient model

Facilitymedian $2,138 · 10th–90th $1,698$3,8900%50%10th90th$2,138Professionalmedian $1,318 · 10th–90th $933$3,1620%20%10th90th$1,318$2.0$10.0$50.0$200.0$1.0K$5.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,047.13 / $1,047.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $1,047.13 / $1,659.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $2,137.96 / $3,467.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,778.28 / $1,949.84 / $2,344.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $4,897.79 / $10,471.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $3,019.95 / $3,981.07
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,698.24 / $2,630.27
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,905.46 / $2,951.21 / $3,715.35
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $2,089.30 / $10,000.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $1,096.48 / $2,344.23
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $70.79 / $1,047.13
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $3,311.31 / $3,311.31
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,513.56 / $2,398.83 / $4,168.69
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,137.96 / $3,162.28 / $5,888.44
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $4,168.69 / $12,022.64
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $1,862.09 / $12,302.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $1,122.02 / $2,137.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $1,047.13 / $1,778.28