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Wisconsin rates for HCPCS L2375

Addition to lower extremity, torsion control, ankle joint and half solid stirrup

Facilitymedian $151 · 10th–90th $123–$2750%20%40%10th90th$151Professionalmedian $91 · 10th–90th $68–$2290%20%10th90th$91$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $74.13 / $74.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $75.86 / $102.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $151.36 / $251.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $141.25 / $169.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $346.74 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $213.80 / $288.40
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $123.03 / $186.21
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $181.97 / $223.87
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $147.91 / $676.08
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $75.86 / $165.96
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $70.79 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $239.88 / $239.88
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $169.82 / $295.12
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $229.09 / $398.11
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $302.00 / $812.83
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $151.36 / $851.14
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $74.13 / $151.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $74.13 / $123.03