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Wisconsin rates for HCPCS L3260

Surgical Boot/Shoe Each (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.31 / $15.65 / $72.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $12.43 / $38.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.70 / $14.13 / $21.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.91 / $10.90 / $24.50
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.70 / $14.70 / $14.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.12 / $37.00 / $51.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.75 / $15.94 / $21.12
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.11 / $9.47 / $14.66
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.42 / $10.42 / $10.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.31 / $13.74 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.25 / $9.61 / $15.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.17 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.11 / $9.47 / $14.66
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.42 / $10.42 / $10.42
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.90 / $29.19 / $37.90
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.12 / $23.58 / $90.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.42 / $21.12 / $86.59
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.40 / $32.40 / $36.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.55 / $8.18 / $9.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.81 / $9.35 / $14.21