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Wisconsin rates for HCPCS L4100

Replace leather cuff KAFO, proximal thigh

Facilitymedian $126 · 10th–90th $100$2290%50%10th90th$126Professionalmedian $85 · 10th–90th $59$1860%20%10th90th$85$0.1$0.5$2.0$10.0$50.0$200.0

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
$61.66 / $61.66 / $61.66
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $61.66 / $104.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$125.89 / $125.89 / $204.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $114.82 / $141.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $288.40 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $177.83 / $234.42
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $100.00 / $154.88
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $158.49 / $199.53
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $123.03 / $616.60
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $69.18 / $138.04
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $66.07 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $194.98 / $194.98
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $141.25 / $245.47
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $186.21 / $371.54
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $251.19 / $741.31
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $107.15 / $776.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $69.18 / $125.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $61.66 / $104.71