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Wisconsin rates for HCPCS L2850

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.77 / $36.77 / $36.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $36.77 / $62.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.88 / $80.17 / $132.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.78 / $67.78 / $89.64
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.43 / $155.96 / $155.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.58 / $151.03 / $303.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.81 / $105.47 / $137.93
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.47 / $55.16 / $83.81
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.73 / $72.88 / $87.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.77 / $72.88 / $368.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.18 / $41.73 / $82.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.07 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.47 / $55.16 / $83.81
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.73 / $72.88 / $87.46
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.88 / $112.17 / $208.77
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.58 / $142.34 / $368.08
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.81 / $43.58 / $446.11
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.88 / $72.88 / $72.88
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.19 / $72.88 / $72.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.00 / $44.00 / $44.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.25 / $40.22 / $69.69