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Wisconsin rates for HCPCS L2210

Addition To Lower Extremity Dorsiflexion Assist (Plantar Flexion Resist) Each Joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.20 / $38.20 / $38.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.20 / $45.47 / $52.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.73 / $83.30 / $137.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.43 / $70.43 / $93.14
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.48 / $162.06 / $162.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $156.65 / $316.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.76 / $109.69 / $143.31
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.39 / $57.30 / $87.09
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.36 / $75.73 / $100.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.20 / $75.17 / $399.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.31 / $44.08 / $85.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.60 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.39 / $57.30 / $87.09
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.36 / $75.73 / $100.97
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.73 / $116.55 / $226.84
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $147.90 / $399.39
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.76 / $48.98 / $662.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.73 / $75.73 / $75.73
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.47 / $75.73 / $75.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.17 / $37.84 / $72.42