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Wisconsin rates for HCPCS L2830

Addition To Lower Extremity Orthosis Soft Interface For Molded Plastic Above Knee Section

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.39 / $61.39 / $61.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.25 / $58.83 / $98.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.84 / $116.42 / $192.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.25 / $98.43 / $130.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.14 / $226.50 / $226.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.45 / $218.57 / $442.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.98 / $153.28 / $200.31
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.09 / $80.09 / $121.72
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.60 / $105.84 / $141.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.39 / $105.84 / $594.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.94 / $61.60 / $119.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.09 / $80.09 / $121.72
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.60 / $105.84 / $141.12
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.84 / $162.88 / $317.17
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.45 / $206.72 / $594.69
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.98 / $68.45 / $880.61
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.84 / $105.84 / $105.84
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.52 / $105.84 / $105.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.34 / $169.34 / $169.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.17 / $53.52 / $105.84