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Wisconsin rates for HCPCS L1836

Knee Orthosis Rigid Without Joint(S) Includes Soft Interface Material Prefabricated Off-The- Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.87 / $57.87 / $57.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.87 / $63.32 / $115.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.41 / $107.15 / $177.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.59 / $90.59 / $119.81
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.64 / $208.46 / $208.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.68 / $332.08 / $403.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.98 / $141.44 / $183.28
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.25 / $86.81 / $116.89
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.99 / $92.03 / $116.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.87 / $112.02 / $469.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.20 / $83.59 / $137.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $87.70
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.25 / $95.25 / $116.89
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.99 / $92.03 / $116.89
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.41 / $198.66 / $258.95
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.68 / $189.14 / $469.03
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.98 / $76.68 / $668.30
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.54 / $133.54 / $133.54
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.34 / $133.54 / $150.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $71.01 / $79.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.71 / $80.20 / $133.66