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Wisconsin rates for HCPCS L3002

Foot insert, removable, molded to patient model, Plastazote or equal, each

Facilitymedian $200 · 10th–90th $178$3630%50%10th90th$200Professionalmedian $129 · 10th–90th $87$2950%20%10th90th$129$0.2$1.0$5.0$20.0$100.0$500.0

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
$97.72 / $97.72 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $97.72 / $144.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $331.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $186.21 / $218.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $457.09 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $281.84 / $371.54
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$97.72 / $162.18 / $245.47
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $263.03 / $331.13
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$97.72 / $194.98 / $912.01
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $102.33 / $218.78
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $58.88 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $316.23 / $316.23
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $223.87 / $389.05
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $295.12 / $549.54
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $398.11 / $912.01
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $190.55 / $977.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $102.33 / $199.53
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $97.72 / $165.96