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Wisconsin rates for HCPCS L2265

Addition to lower extremity, long tongue stirrup

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.70 / $81.70 / $81.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.01 / $81.70 / $119.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.97 / $178.17 / $294.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.77 / $150.63 / $199.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.51 / $346.62 / $346.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.22 / $334.90 / $675.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.54 / $234.84 / $306.54
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.73 / $122.55 / $186.27
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.72 / $161.97 / $194.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.97 / $161.97 / $729.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.53 / $80.80 / $176.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.73 / $122.55 / $186.27
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.72 / $161.97 / $194.36
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.97 / $249.25 / $397.47
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.22 / $316.33 / $729.99
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.54 / $106.22 / $1,419.30
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.97 / $161.97 / $161.97
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.31 / $161.97 / $161.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $65.59 / $75.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.87 / $80.80 / $143.60