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Wisconsin rates for HCPCS L2780

Addition To Lower Extremity Orthosis Non-Corrosive Finish Per Bar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.46 / $38.46 / $38.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.45 / $38.46 / $73.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.25 / $83.88 / $138.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.62 / $70.91 / $93.78
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.86 / $163.18 / $163.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.11 / $157.60 / $317.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.50 / $110.63 / $144.30
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.56 / $57.69 / $87.69
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.66 / $76.25 / $101.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.46 / $80.06 / $395.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.53 / $44.38 / $86.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.64 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.56 / $57.69 / $87.69
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.66 / $76.25 / $101.66
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.25 / $117.35 / $227.84
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.11 / $148.91 / $395.32
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.50 / $54.11 / $503.22
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.25 / $76.25 / $76.25
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.89 / $76.25 / $76.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.00 / $48.00 / $48.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.38 / $43.97 / $83.02