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Wisconsin rates for HCPCS L2280

Addition To Lower Extremity Molded Inner Boot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$343.12 / $343.12 / $343.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.70 / $343.12 / $488.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$680.18 / $748.20 / $1,237.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$632.57 / $632.57 / $836.62
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.31 / $1,455.59 / $1,455.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.45 / $1,406.19 / $2,839.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.86 / $985.78 / $1,287.28
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.30 / $514.67 / $782.21
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.46 / $680.18 / $816.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$284.42 / $680.08 / $2,665.73
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.23 / $339.33 / $740.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $316.33
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.30 / $514.67 / $782.21
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.46 / $680.18 / $816.22
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.18 / $1,020.27 / $1,526.63
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.45 / $1,328.46 / $2,665.73
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.86 / $361.45 / $3,489.30
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.18 / $680.18 / $680.18
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.11 / $680.18 / $680.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.22 / $339.33 / $603.04