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Wisconsin rates for HCPCS L4002

Replacement strap, any orthosis, includes all components, any length, any type

Facilitymedian $63 · 10th–90th $25–$1000%20%10th90th$63Professionalmedian $25 · 10th–90th $25–$270%50%90th$25$10.0$20.0$50.0$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
$25.12 / $25.12 / $25.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $25.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $27.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $74.13 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $38.02 / $43.65
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $44.67
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $47.86 / $61.66
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $37.15 / $89.13
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $43.65
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $54.95 / $70.79
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $7.59 / $7.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $18.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $89.13