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Wisconsin rates for HCPCS L2540

Addition to lower extremity, thigh/weight bearing, lacer, molded to patient model

Facilitymedian $562 · 10th–90th $447$1,0230%50%10th90th$562Professionalmedian $380 · 10th–90th $229$8320%20%10th90th$380$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
$275.42 / $275.42 / $275.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $275.42 / $407.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $562.34 / $912.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $512.86 / $630.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $1,288.25 / $2,754.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $794.33 / $1,047.13
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $446.68 / $691.83
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $707.95 / $891.25
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $549.54 / $2,570.40
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $281.84 / $616.60
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $70.79 / $213.80
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $891.25 / $891.25
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $630.96 / $1,096.48
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $831.76 / $1,513.56
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $1,122.02 / $3,019.95
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $436.52 / $3,715.35
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $275.42 / $562.34
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $275.42 / $457.09