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Wisconsin rates for HCPCS L3649

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $15.14 / $33.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $2,511.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.12
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $8.91 / $15.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $15.14 / $89.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $58.88 / $70.79
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.12