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Wisconsin rates for HCPCS L2038

Knee Ankle Foot Orthosis Full Plastic With Or Without Free Motion Knee Multi-Axis Ankle Customfabricated Without Free Motion Knee Multi-Axis Ankle Custom

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.55 / $812.55 / $812.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$764.92 / $812.55 / $1,452.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,610.72 / $1,771.79 / $2,931.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,449.64 / $1,497.97 / $1,981.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,158.75 / $3,446.94 / $3,446.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,006.48 / $3,330.20 / $6,723.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$734.73 / $2,682.60 / $3,048.41
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$518.77 / $1,218.83 / $1,852.33
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$922.26 / $1,610.72 / $1,932.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.55 / $1,610.72 / $8,399.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$729.64 / $937.50 / $1,818.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$518.77 / $1,218.83 / $1,852.33
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$922.26 / $1,610.72 / $1,932.86
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,610.72 / $2,478.86 / $4,821.77
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,006.48 / $3,145.94 / $8,399.94
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$734.73 / $1,006.48 / $10,156.85
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,610.72 / $1,610.72 / $1,610.72
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,610.72 / $1,610.72 / $1,610.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$820.00 / $820.00 / $820.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$641.69 / $804.88 / $1,540.18