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Wisconsin rates for HCPCS L2220

Addition To Lower Extremity Dorsiflexion And Plantar Flexion Assist/Resist Each Joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.18 / $49.18 / $49.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.39 / $49.18 / $89.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.48 / $107.23 / $177.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.66 / $90.66 / $119.90
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.13 / $208.61 / $208.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.72 / $201.70 / $407.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.79 / $141.09 / $184.50
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.71 / $73.77 / $112.10
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.82 / $97.48 / $123.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.18 / $97.48 / $490.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.34 / $53.70 / $110.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.64 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.71 / $73.77 / $112.10
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.82 / $97.48 / $123.01
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.48 / $150.03 / $276.02
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.72 / $190.40 / $490.51
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.79 / $62.72 / $793.53
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.48 / $97.48 / $97.48
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.84 / $97.48 / $97.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.61 / $147.61 / $147.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.04 / $48.64 / $93.22