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Wisconsin rates for HCPCS L2540

Addition To Lower Extremity Thigh/Weight Bearing Lacer Molded To Patient Model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.82 / $275.82 / $275.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.19 / $275.82 / $429.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$546.76 / $601.44 / $995.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.08 / $508.49 / $672.51
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.35 / $1,170.07 / $1,170.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.62 / $1,130.39 / $2,282.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.26 / $792.19 / $1,034.80
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.41 / $413.73 / $628.77
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.06 / $546.76 / $656.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.55 / $546.76 / $2,544.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.70 / $282.64 / $595.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $215.11
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.41 / $413.73 / $628.77
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.06 / $546.76 / $656.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.76 / $841.45 / $1,426.26
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.62 / $1,067.90 / $2,544.94
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.26 / $297.62 / $3,633.98
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.76 / $546.76 / $546.76
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.76 / $546.76 / $546.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.06 / $274.63 / $522.82