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Wisconsin rates for HCPCS L3300

Lift, elevation, heel, tapered to metatarsals, per in

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.70 / $31.70 / $31.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.99 / $33.70 / $43.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.84 / $69.12 / $114.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.55 / $58.44 / $77.29
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.21 / $134.47 / $134.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.07 / $138.25 / $261.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.60 / $90.94 / $118.94
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.07 / $47.55 / $72.27
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.97 / $61.32 / $75.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.29 / $62.84 / $292.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.43 / $32.92 / $68.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.84 / $58.40 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.07 / $47.55 / $72.27
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.97 / $61.32 / $75.41
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.84 / $96.71 / $167.62
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.07 / $122.74 / $292.55
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.60 / $35.07 / $316.33
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.84 / $62.84 / $62.84
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.18 / $62.84 / $62.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.92 / $31.35 / $55.71