go back

Wisconsin rates for HCPCS L3465

Heel Thomas With Wedge (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.58 / $35.58 / $35.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.65 / $35.58 / $63.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.53 / $77.58 / $128.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.47 / $65.59 / $86.75
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.74 / $150.93 / $150.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.35 / $155.29 / $293.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.73 / $102.19 / $133.49
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.28 / $53.37 / $81.11
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.38 / $68.78 / $84.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.11 / $70.53 / $328.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.77 / $36.94 / $76.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.19 / $58.40 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.28 / $53.37 / $81.11
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.38 / $68.78 / $84.64
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.53 / $108.54 / $188.70
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.35 / $137.76 / $328.21
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.73 / $39.35 / $354.92
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.53 / $70.53 / $70.53
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.53 / $70.53 / $70.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.18 / $36.32 / $67.44