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Wisconsin rates for HCPCS L3225

Orthopedic footwear, man's shoe, Oxford, used as an integral part of a brace (orthosis)

Facilitymedian $91 · 10th–90th $72$1660%20%40%10th90th$91Professionalmedian $60 · 10th–90th $37$1350%20%10th90th$60$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
$43.65 / $43.65 / $43.65
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $43.65 / $66.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91.20 / $91.20 / $151.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $102.33
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $208.93 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $128.82 / $169.82
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $72.44 / $112.20
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $112.20 / $141.25
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $89.13 / $416.87
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $45.71 / $100.00
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
$144.54 / $144.54 / $144.54
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $102.33 / $177.83
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $134.90 / $239.88
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $181.97 / $478.63
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $79.43 / $575.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $44.67 / $91.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $44.67 / $74.13