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Wisconsin rates for HCPCS L4070

Replace Proximal And Distal Upright For Kafo

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.94 / $159.94 / $159.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.94 / $162.21 / $308.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.05 / $348.76 / $577.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.86 / $294.86 / $389.97
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.08 / $678.49 / $678.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.09 / $655.71 / $1,323.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.72 / $459.38 / $600.04
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.11 / $239.91 / $364.61
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.54 / $317.05 / $422.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.94 / $317.35 / $1,717.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.62 / $184.53 / $357.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $89.64
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.11 / $239.91 / $364.61
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.54 / $317.05 / $422.73
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.05 / $487.95 / $949.50
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.09 / $619.24 / $1,717.61
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.72 / $205.09 / $3,824.46
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.05 / $317.05 / $317.05
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.05 / $317.05 / $317.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.31 / $179.87 / $303.16