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Wisconsin rates for HCPCS L3809

Wrist Hand Finger Orthosis Without Joint(S) Prefabricated Off-The-Shelf Any Type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.82 / $138.31 / $138.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.75 / $153.37 / $296.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.19 / $301.61 / $499.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.15 / $255.00 / $337.25
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.23 / $329.03 / $586.77
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.19 / $287.89 / $385.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.00 / $580.05 / $1,144.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.66 / $397.50 / $518.92
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.31 / $218.23 / $315.32
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.62 / $274.19 / $329.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.58 / $274.19 / $1,281.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.61 / $145.35 / $300.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.71 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.31 / $219.35 / $315.32
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.62 / $274.19 / $329.03
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.19 / $421.95 / $733.70
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.00 / $535.52 / $1,281.52
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.66 / $142.00 / $1,380.26
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.19 / $274.19 / $274.19
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.19 / $274.19 / $274.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.23 / $136.78 / $274.19