go back

Wisconsin rates for HCPCS L3649

Orthopedic shoe, modification, addition or transfer, not otherwise specified

Facilitymedian $65 · 10th–90th $9$1000%10%20%10th90th$65Professionalmedian $15 · 10th–90th $11$340%50%10th90th$15$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$33.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.25
Median
$0.25
Typical High
$0.25
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$8.91
Typical High
$15.14
Medica
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$15.14
Typical High
$89.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$58.88
Typical High
$70.79
Quartz
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$100.00
Quartz
Setting
Professional
Modifier
Global
Typical Low
$0.12
Median
$0.12
Typical High
$0.12