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Wisconsin rates for HCPCS L2680

Addition To Lower Extremity Thoracic Control Lateral Support Uprights

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.93 / $88.93 / $88.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.72 / $88.93 / $159.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.29 / $193.92 / $320.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.47 / $163.95 / $216.83
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.83 / $377.26 / $377.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.16 / $364.91 / $736.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.42 / $255.47 / $333.65
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.78 / $133.40 / $202.73
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.94 / $176.29 / $213.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.93 / $175.39 / $918.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.86 / $102.61 / $199.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.78 / $133.40 / $202.73
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.94 / $176.29 / $213.27
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.29 / $271.31 / $527.95
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.16 / $344.32 / $918.20
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.42 / $110.16 / $1,170.59
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.29 / $176.29 / $176.29
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.29 / $176.29 / $176.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.23 / $97.64 / $164.76