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Wisconsin rates for HCPCS L3170

Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each

Facilitymedian $63 · 10th–90th $56$1150%50%10th90th$63Professionalmedian $42 · 10th–90th $26$980%20%10th90th$42$0.1$0.2$1.0$5.0$20.0$100.0

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
$30.20 / $30.20 / $30.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $30.90 / $52.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $63.10 / $102.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $57.54 / $70.79
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $144.54 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $89.13 / $117.49
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $50.12 / $77.62
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $74.13 / $93.33
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $61.66 / $288.40
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $32.36 / $67.61
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $58.88 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$97.72 / $97.72 / $97.72
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $70.79 / $123.03
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $93.33 / $169.82
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $123.03 / $288.40
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $50.12 / $309.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $31.62 / $63.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $79.43 / $123.03