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Wisconsin rates for HCPCS L2010

Knee-ankle-foot orthosis (KAFO), single upright, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'AK' orthosis), without knee joint, custom fabricated

Facilitymedian $1,072 · 10th–90th $933$1,9500%50%10th90th$1,072Professionalmedian $776 · 10th–90th $513$1,6220%20%10th90th$776$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$537.03
Typical High
$933.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,778.28
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,000.00
Typical High
$1,202.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$2,454.71
Typical High
$5,248.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$1,513.56
Typical High
$2,041.74
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$870.96
Typical High
$1,318.26
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$1,047.13
Typical High
$1,380.38
Medica
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$1,047.13
Typical High
$5,623.41
Medica
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$602.56
Typical High
$1,202.26
Molina
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$70.79
Typical High
$676.08
Network Health
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,698.24
Network Health
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,202.26
Typical High
$2,089.30
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,621.81
Typical High
$3,311.31
Quartz
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$2,137.96
Typical High
$6,606.93
Quartz
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$1,071.52
Typical High
$9,332.54
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$616.60
Typical High
$1,071.52
United
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$524.81
Typical High
$933.25