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Wisconsin rates for HCPCS L2090

Hip-knee-ankle-foot orthosis (HKAFO), torsion control, unilateral torsion cable, ball bearing hip joint, pelvic band/ belt, custom fabricated

Facilitymedian $617 · 10th–90th $490$1,1220%20%40%10th90th$617Professionalmedian $398 · 10th–90th $234$9120%20%10th90th$398$0.5$2.0$10.0$50.0$200.0$1.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $302.00 / $302.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $302.00 / $446.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $616.60 / $1,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $562.34 / $676.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $1,412.54 / $3,019.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $870.96 / $1,148.15
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $489.78 / $758.58
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $602.56 / $724.44
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $602.56 / $2,630.27
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $302.00 / $660.69
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $70.79 / $288.40
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $954.99 / $954.99
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $691.83 / $1,202.26
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $912.01 / $1,548.82
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $1,202.26 / $3,162.28
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $562.34 / $3,630.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $295.12 / $616.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $302.00 / $501.19