go back

Wisconsin rates for HCPCS L2785

Addition To Lower Extremity Orthosis Drop Lock Retainer Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.01 / $18.01 / $18.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.01 / $19.84 / $42.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.70 / $39.27 / $64.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.87 / $33.20 / $43.91
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.69 / $76.40 / $76.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.10 / $74.11 / $148.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.86 / $51.56 / $67.58
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.50 / $27.02 / $41.06
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.44 / $35.70 / $47.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.01 / $35.69 / $190.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.17 / $20.78 / $40.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.99 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.50 / $27.02 / $41.06
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.44 / $35.70 / $47.60
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.70 / $54.94 / $106.39
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.10 / $69.73 / $190.57
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.86 / $23.10 / $294.20
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.70 / $35.70 / $35.70
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.70 / $35.70 / $35.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.23 / $19.01 / $34.57