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Wisconsin rates for HCPCS L2500

Addition to lower extremity, thigh/weight bearing, gluteal/ischial weight bearing, ring

Facilitymedian $380 · 10th–90th $309$7080%20%40%10th90th$380Professionalmedian $257 · 10th–90th $178$5750%20%10th90th$257$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
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$194.98
Typical High
$288.40
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$630.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$426.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$891.25
Typical High
$1,905.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$549.54
Typical High
$724.44
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$309.03
Typical High
$478.63
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$380.19
Typical High
$478.63
Medica
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$380.19
Typical High
$1,819.70
Medica
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$208.93
Typical High
$426.58
Molina
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$70.79
Typical High
$275.42
Network Health
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
Network Health
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$436.52
Typical High
$758.58
Quartz
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$575.44
Typical High
$1,122.02
Quartz
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$758.58
Typical High
$2,238.72
Quartz
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$354.81
Typical High
$2,344.23
United
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$208.93
Typical High
$380.19
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$186.21
Typical High
$323.59