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Wisconsin rates for HCPCS L2036

Knee Ankle Foot Orthosis Full Plastic Double Upright With Or Without Free Motion Ankle Customfabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,126.83 / $1,126.83 / $1,126.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$992.62 / $1,148.09 / $1,885.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,233.75 / $2,457.13 / $4,065.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,010.37 / $2,077.39 / $2,747.51
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,606.96 / $4,780.22 / $4,780.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,306.07 / $4,618.16 / $9,323.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$953.43 / $3,237.19 / $4,227.55
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$673.20 / $1,690.26 / $2,568.81
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,278.99 / $2,233.75 / $2,680.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,126.83 / $2,280.27 / $11,140.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$964.13 / $1,216.57 / $2,499.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $1,017.63
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$673.20 / $1,690.26 / $2,568.81
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,278.99 / $2,233.75 / $2,680.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,233.75 / $3,437.67 / $6,257.07
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,306.07 / $4,362.80 / $11,140.65
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$953.43 / $1,306.07 / $13,377.22
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,233.75 / $2,233.75 / $2,233.75
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,783.60 / $2,233.75 / $2,233.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$868.98 / $1,114.40 / $1,980.48