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Wisconsin rates for HCPCS L2840

Addition To Lower Extremity Orthosis Tibial Length Sock Fracture Or Equal Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.22 / $26.22 / $26.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.22 / $29.16 / $38.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.98 / $57.18 / $94.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.78 / $48.34 / $63.93
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.39 / $111.24 / $111.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.92 / $107.89 / $216.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.30 / $75.47 / $98.38
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $39.33 / $59.78
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.75 / $49.22 / $62.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.22 / $51.98 / $258.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.41 / $28.65 / $56.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.14 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $39.33 / $59.78
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.75 / $49.22 / $62.38
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.98 / $79.98 / $147.54
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.92 / $101.52 / $258.76
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.30 / $31.92 / $324.87
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.98 / $51.98 / $51.98
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.49 / $51.98 / $51.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.47 / $27.26 / $49.69