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Wisconsin rates for HCPCS L1812

Knee orthosis (KO), elastic with joints, prefabricated, off-the-shelf

Facilitymedian $78 · 10th–90th $76$1410%20%40%10th90th$78Professionalmedian $72 · 10th–90th $42$1510%20%10th90th$72$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
$44.67 / $44.67 / $44.67
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $52.48 / $131.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $77.62 / $128.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $72.44 / $87.10
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $134.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $281.84 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $117.49 / $147.91
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $75.86 / $102.33
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $107.15 / $120.23
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $79.43 / $371.54
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $66.07 / $141.25
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $63.10 / $70.79
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $112.20 / $190.55
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $131.83 / $213.80
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $154.88 / $371.54
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $107.15 / $537.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $63.10 / $104.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $95.50 / $190.55