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Wisconsin rates for HCPCS L3257

Orthopedic footwear, additional charge for split size

Facilitymedian $24 · 10th–90th $11$1150%10%20%10th90th$24Professionalmedian $13 · 10th–90th $11$500%20%10th90th$13$0.0$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
$10.96 / $10.96 / $10.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $12.02 / $19.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $54.95 / $54.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $69.18 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $27.54 / $31.62
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $16.98 / $42.66
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $61.66 / $83.18
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $21.38 / $114.82
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $16.60 / $34.67
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $54.95 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $51.29 / $70.79
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $40.74 / $141.25
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $31.62 / $162.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $15.49 / $17.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $13.49 / $24.55