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Wisconsin rates for HCPCS L3265

Plastazote sandal, each

Facilitymedian $16 · 10th–90th $6$710%5%10%10th90th$16Professionalmedian $9 · 10th–90th $6$280%10%10th90th$9$5.0$10.0$20.0$50.0$100.0

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
$6.03 / $6.03 / $6.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $7.08 / $12.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $26.92 / $27.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $41.69 / $67.61
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $19.05 / $22.91
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $10.47 / $26.30
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $40.74 / $56.23
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $13.18 / $89.13
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $10.23 / $20.89
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
$17.78 / $31.62 / $43.65
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $89.13
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $28.84 / $97.72
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $21.88 / $22.39
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $10.00 / $13.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $8.32 / $15.14