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Wisconsin rates for HCPCS L4394

Replace soft interface material, foot drop splint

Facilitymedian $21 · 10th–90th $19$380%20%40%10th90th$21Professionalmedian $13 · 10th–90th $9$320%10%20%10th90th$13$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
$10.00 / $10.00 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $10.00 / $14.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $34.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $23.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $48.98 / $104.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $30.20 / $39.81
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $16.98 / $26.30
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $19.95 / $25.12
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $20.89 / $95.50
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $10.96 / $22.91
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $58.88 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $33.11
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $23.99 / $41.69
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $31.62 / $57.54
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $41.69 / $95.50
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $19.50 / $102.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $10.72 / $20.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $10.23 / $17.38