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Wisconsin rates for HCPCS L3216

Orthopedic footwear, ladies shoe, depth inlay, each

Facilitymedian $72 · 10th–90th $39$4170%10%10th90th$72Professionalmedian $48 · 10th–90th $39$1320%20%10th90th$48$0.1$0.5$2.0$10.0$50.0$200.0

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
$38.90 / $38.90 / $38.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $43.65 / $72.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $131.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $251.19 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $112.20 / $141.25
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $61.66 / $151.36
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $162.18 / $223.87
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $77.62 / $416.87
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $60.26 / $123.03
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $58.88 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $186.21 / $257.04
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $147.91 / $512.86
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $69.18 / $575.44
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $104.71 / $107.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $56.23 / $64.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $47.86 / $87.10