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Wisconsin rates for HCPCS L1910

Ankle Foot Orthosis Posterior Single Bar Clasp Attachment To Shoe Counter Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.45 / $170.45 / $170.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.08 / $170.45 / $271.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$337.89 / $371.68 / $614.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.10 / $314.24 / $415.60
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.08 / $723.08 / $723.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.57 / $698.87 / $1,410.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.56 / $489.84 / $639.49
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.03 / $255.68 / $388.57
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.46 / $337.89 / $405.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.97 / $337.89 / $1,607.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.97 / $177.00 / $375.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $168.71
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.03 / $255.68 / $388.57
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.46 / $337.89 / $405.47
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.89 / $520.00 / $902.33
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.57 / $659.94 / $1,607.39
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.56 / $218.57 / $2,114.42
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.89 / $337.89 / $337.89
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.77 / $337.89 / $337.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.26 / $168.57 / $323.08