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Wisconsin rates for HCPCS L2999

Lower Extremity Orthoses Not Otherwise Specified

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.50 / $25.60 / $70.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.25 / $13.25 / $13.25
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.53 / $60.53 / $60.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.53 / $145.87 / $145.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.36 / $70.36 / $70.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.53 / $60.53 / $60.53
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $65.00 / $145.87
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.25 / $13.25 / $13.25