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Wisconsin rates for HCPCS L2030

Knee Ankle Foot Orthosis Double Upright Free Ankle Solid Stirrup Thigh And Calf Bands/Cuffs (Double Bar Ak Orthosis) Without Knee Joint Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$658.37 / $658.37 / $658.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.99 / $658.37 / $1,029.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,305.08 / $1,435.60 / $2,375.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.58 / $1,213.73 / $1,605.26
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$938.88 / $2,792.89 / $2,792.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.15 / $2,697.93 / $5,447.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.60 / $1,891.41 / $2,469.98
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$367.58 / $987.56 / $1,500.85
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$747.26 / $1,305.08 / $1,566.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$636.29 / $1,305.08 / $6,073.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.42 / $677.27 / $1,423.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $777.12
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$367.58 / $987.56 / $1,500.85
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$747.26 / $1,305.08 / $1,566.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,305.08 / $2,008.50 / $3,416.59
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.15 / $2,549.00 / $6,073.14
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.60 / $713.15 / $7,833.15
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,305.08 / $1,305.08 / $1,305.08
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,305.08 / $1,305.08 / $1,305.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.48 / $664.27 / $1,305.08