go back

Wisconsin rates for HCPCS L3000

Foot insert, removable, molded to patient model, UCB type, Berkeley shell, each

Facilitymedian $389 · 10th–90th $363$7080%20%40%10th90th$389Professionalmedian $339 · 10th–90th $178$7760%10%20%10th90th$339$0.5$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $190.55 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $251.19 / $794.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $389.05 / $630.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $363.08 / $436.52
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $457.09 / $602.56
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $691.83 / $1,905.46
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $549.54 / $724.44
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $309.03 / $478.63
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $426.58 / $524.81
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $380.19 / $1,778.28
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $199.53 / $426.58
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $70.79 / $123.03
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $616.60 / $616.60
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $436.52 / $758.58
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $575.44 / $1,071.52
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $776.25 / $1,778.28
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $309.03 / $1,905.46
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $194.98 / $389.05
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $190.55 / $323.59