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Wisconsin rates for HCPCS L3150

Foot Abduction Rotatation Bar Without Shoes (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.48 / $56.90 / $56.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.83 / $49.48 / $88.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.09 / $107.90 / $178.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.83 / $91.22 / $120.65
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.56 / $209.91 / $209.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.48 / $216.39 / $410.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.45 / $142.03 / $185.64
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.22 / $74.22 / $112.80
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.16 / $95.72 / $117.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.84 / $98.09 / $456.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.82 / $51.38 / $106.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.93 / $58.40 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.22 / $74.22 / $112.80
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.16 / $95.72 / $117.71
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.09 / $150.94 / $261.97
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.48 / $191.58 / $456.72
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.45 / $70.48 / $493.67
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.09 / $98.09 / $98.09
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.09 / $98.09 / $98.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.22 / $48.94 / $93.46