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Wisconsin rates for HCPCS L3225

Orthopedic Footwear Mans Shoe Oxford Used As An Integral Part Of A Brace (Orthosis) (Special Coverage Instructions Apply. See Mcm: 2323d)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.86 / $44.86 / $44.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.19 / $44.86 / $68.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.92 / $97.81 / $161.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.02 / $82.70 / $109.37
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.97 / $190.29 / $190.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.54 / $183.88 / $370.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $128.91 / $168.30
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.54 / $67.29 / $102.26
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.92 / $88.92 / $106.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.49 / $88.92 / $416.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.43 / $45.23 / $96.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.38 / $59.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.54 / $67.29 / $102.26
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.92 / $88.92 / $106.70
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.92 / $136.86 / $227.84
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.54 / $173.68 / $416.19
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $54.54 / $567.17
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.92 / $88.92 / $88.92
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.01 / $88.92 / $88.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.69 / $44.36 / $88.92