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Wisconsin rates for HCPCS L2650

Addition to lower extremity, pelvic and thoracic control, gluteal pad, each

Facilitymedian $170 · 10th–90th $138$3090%50%10th90th$170Professionalmedian $112 · 10th–90th $66$2570%20%10th90th$112$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
$83.18 / $83.18 / $83.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $83.18 / $120.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $169.82 / $281.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $158.49 / $190.55
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $389.05 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $239.88 / $323.59
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $138.04 / $208.93
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $151.36 / $204.17
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $165.96 / $707.95
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $83.18 / $181.97
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $67.61 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $269.15 / $269.15
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $190.55 / $331.13
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $257.04 / $426.58
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $338.84 / $707.95
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $162.18 / $891.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $75.86 / $169.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $83.18 / $138.04