go back

Wisconsin rates for HCPCS L1850

Knee orthosis (KO), Swedish type, prefabricated, off-the-shelf

Facilitymedian $229 · 10th–90th $214$4570%20%40%10th90th$229Professionalmedian $204 · 10th–90th $120$3630%20%10th90th$204$0.5$2.0$10.0$50.0$200.0$1.0K

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
$128.82 / $128.82 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $131.83 / $239.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $229.09 / $380.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $213.80 / $257.04
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $812.83 / $1,096.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $323.59 / $426.58
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $223.87 / $323.59
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $323.59 / $446.68
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $234.42 / $1,096.48
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $186.21 / $331.13
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $70.79 / $218.78
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $549.54 / $549.54
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $302.00 / $524.81
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $389.05 / $630.96
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $457.09 / $1,096.48
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $316.23 / $1,698.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$125.89 / $190.55 / $302.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $169.82 / $275.42