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Wisconsin rates for HCPCS L4370

Pneumatic full leg splint, prefabricated, off-the-shelf

Facilitymedian $288 · 10th–90th $234$5250%20%40%10th90th$288Professionalmedian $186 · 10th–90th $100$4270%10%20%10th90th$186$0.2$1.0$5.0$20.0$100.0$500.0

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
$144.54 / $144.54 / $144.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $144.54 / $190.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $288.40 / $478.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $269.15 / $316.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $660.69 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $407.38 / $549.54
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $234.42 / $354.81
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $331.13 / $407.38
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$144.54 / $281.84 / $1,096.48
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $141.25 / $309.03
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $70.79 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $457.09 / $457.09
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $323.59 / $562.34
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $416.87 / $630.96
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $575.44 / $1,096.48
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $218.78 / $1,412.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $117.49 / $288.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $141.25 / $275.42