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Wisconsin rates for HCPCS L3995

Addition to upper extremity orthosis, sock, fracture or equal, each

Facilitymedian $46 · 10th–90th $40$830%20%40%10th90th$46Professionalmedian $33 · 10th–90th $20$810%20%10th90th$33$0.1$0.2$1.0$5.0$20.0$100.0

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $54.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $21.88 / $38.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $45.71 / $75.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $50.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $104.71 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $64.57 / $87.10
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $37.15 / $56.23
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $60.26 / $75.86
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $44.67 / $194.98
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $22.39 / $48.98
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $54.95 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $72.44 / $72.44
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $51.29 / $89.13
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $69.18 / $114.82
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $91.20 / $199.53
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $39.81 / $234.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $20.89 / $45.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $57.54 / $89.13