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Wisconsin rates for HCPCS L2275

Addition To Lower Extremity Varus/Valgus Correction Plastic Modification Padded/Lined

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.22 / $79.22 / $79.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.91 / $84.85 / $123.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.05 / $172.76 / $285.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.34 / $146.06 / $193.17
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.99 / $176.66 / $336.09
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.05 / $164.90 / $206.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.60 / $324.58 / $655.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.90 / $227.81 / $297.23
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.51 / $118.83 / $180.61
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.93 / $157.05 / $188.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.78 / $157.05 / $744.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.86 / $86.90 / $176.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $91.62
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.51 / $118.83 / $180.61
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.93 / $157.05 / $188.46
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.05 / $241.72 / $422.56
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.60 / $306.74 / $744.59
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.90 / $102.60 / $914.49
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.05 / $157.05 / $157.05
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.41 / $157.05 / $157.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.57 / $83.85 / $157.05