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Wisconsin rates for HCPCS L2750

Addition To Lower Extremity Orthosis Plating Chrome Or Nickel Per Bar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.50 / $47.50 / $47.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.72 / $47.50 / $84.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.16 / $103.58 / $171.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.74 / $87.57 / $115.81
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.73 / $201.50 / $201.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.84 / $195.12 / $393.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.95 / $136.41 / $178.20
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.33 / $71.25 / $108.28
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.92 / $94.16 / $112.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.50 / $94.16 / $476.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $54.81 / $102.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.89 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.33 / $71.25 / $108.28
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.92 / $94.16 / $112.99
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.16 / $144.91 / $282.04
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.84 / $183.90 / $476.85
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.95 / $58.84 / $612.91
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.16 / $94.16 / $94.16
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.16 / $94.16 / $94.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.52 / $54.29 / $94.16