go back

Wisconsin rates for HCPCS L1860

Knee Orthosis Modification Of Supracondylar Prosthetic Socket Custom-Fabricated (Sk)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$757.93 / $757.93 / $757.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.29 / $757.93 / $1,134.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,502.44 / $1,652.68 / $2,734.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,397.27 / $1,397.27 / $1,848.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,080.84 / $3,215.22 / $3,215.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.39 / $3,106.00 / $6,271.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.42 / $2,177.34 / $2,843.49
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.35 / $1,136.90 / $1,727.81
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.26 / $1,502.44 / $1,802.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$673.98 / $1,502.44 / $6,411.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.54 / $749.55 / $1,635.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $705.43
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.35 / $1,136.90 / $1,727.81
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.26 / $1,502.44 / $1,802.93
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,502.44 / $2,307.40 / $3,618.34
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.39 / $2,934.46 / $6,411.18
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.42 / $755.39 / $8,001.72
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,502.44 / $1,502.44 / $1,502.44
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,199.66 / $1,502.44 / $1,502.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.59 / $749.55 / $1,332.09