go back

Wisconsin rates for HCPCS L2375

Addition To Lower Extremity Torsion Control Ankle Joint And Half Solid Stirrup

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.79 / $74.79 / $74.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.45 / $74.79 / $114.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.25 / $163.08 / $269.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.87 / $137.87 / $182.34
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.66 / $317.26 / $317.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.21 / $306.76 / $618.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.06 / $246.92 / $280.58
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.00 / $112.19 / $170.49
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.88 / $148.25 / $177.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.97 / $148.25 / $670.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.06 / $75.54 / $161.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.00 / $112.19 / $170.49
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.88 / $148.25 / $177.90
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.25 / $228.13 / $381.41
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.21 / $289.56 / $670.46
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.06 / $104.21 / $840.16
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.25 / $148.25 / $148.25
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.25 / $148.25 / $148.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.92 / $73.95 / $148.25