go back

Wisconsin rates for HCPCS L2184

Addition To Lower Extremity Fracture Orthosis Limited Motion Knee Joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.40 / $70.40 / $70.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.40 / $87.67 / $167.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.56 / $153.52 / $254.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.60 / $129.79 / $171.65
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.39 / $298.66 / $298.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.28 / $288.93 / $582.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.90 / $202.03 / $264.13
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.95 / $105.60 / $160.49
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.90 / $139.56 / $167.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.40 / $139.37 / $703.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.22 / $81.23 / $151.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.95 / $105.60 / $160.49
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.90 / $139.56 / $167.47
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.56 / $214.78 / $417.54
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.28 / $272.58 / $703.87
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.90 / $90.28 / $831.20
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.56 / $139.56 / $139.56
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.56 / $139.56 / $139.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.60 / $69.62 / $130.41