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Wisconsin rates for HCPCS L4110

Replace leather cuff KAFO-AFO, calf or distal thigh

Facilitymedian $98 · 10th–90th $79$1780%20%40%10th90th$98Professionalmedian $71 · 10th–90th $47$1450%20%10th90th$71$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
$47.86 / $47.86 / $47.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $48.98 / $85.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$97.72 / $97.72 / $162.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $91.20 / $107.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $223.87 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $138.04 / $186.21
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47.86 / $79.43 / $120.23
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $125.89 / $154.88
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47.86 / $95.50 / $512.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $54.95 / $112.20
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $58.88 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $154.88 / $154.88
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $109.65 / $190.55
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $151.36 / $302.00
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $194.98 / $602.56
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $91.20 / $691.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $56.23 / $97.72
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $47.86 / $81.28