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Wisconsin rates for HCPCS L2190

Addition to lower extremity fracture orthosis, waist belt

Facilitymedian $105 · 10th–90th $85$1910%50%10th90th$105Professionalmedian $71 · 10th–90th $50$1580%20%10th90th$71$0.1$0.5$2.0$10.0$50.0$200.0

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
$51.29 / $51.29 / $51.29
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $52.48 / $79.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $104.71 / $173.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $97.72 / $114.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $239.88 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $147.91 / $199.53
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $85.11 / $128.82
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $97.72 / $125.89
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $102.33 / $501.19
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $57.54 / $114.82
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $58.88 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $165.96 / $165.96
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $117.49 / $204.17
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $158.49 / $309.03
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $208.93 / $501.19
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $89.13 / $562.34
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $56.23 / $104.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $51.29 / $89.13