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Wisconsin rates for HCPCS L2370

Addition To Lower Extremity Patten Bottom

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.52 / $194.52 / $194.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.34 / $194.52 / $267.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.60 / $424.16 / $701.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.61 / $358.61 / $474.28
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.39 / $825.18 / $825.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.71 / $797.37 / $1,609.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.91 / $558.75 / $729.78
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.15 / $291.77 / $443.44
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.79 / $385.60 / $462.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.24 / $381.63 / $1,641.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.28 / $192.37 / $419.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $325.77
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.15 / $291.77 / $443.44
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.79 / $385.60 / $462.72
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.60 / $578.40 / $866.19
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.71 / $753.12 / $1,641.93
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.91 / $180.71 / $2,898.90
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.60 / $385.60 / $385.60
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.60 / $385.60 / $385.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.01 / $192.37 / $385.60