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Wisconsin rates for HCPCS A5102

Expired, Orthopedic,Los>/=14

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.30 / $18.30 / $18.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.57 / $19.97 / $25.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.53 / $34.68 / $57.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.37 / $29.32 / $38.78
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.68 / $67.47 / $67.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.95 / $84.71 / $131.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.11 / $46.20 / $59.68
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.64 / $26.22 / $36.26
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.94 / $31.29 / $37.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.35 / $33.11 / $146.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.37 / $16.12 / $36.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.83 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.64 / $27.47 / $36.26
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.94 / $31.29 / $37.84
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.53 / $48.54 / $80.30
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.95 / $61.58 / $146.94
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.11 / $18.95 / $155.82
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.53 / $31.53 / $31.53
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.53 / $31.53 / $31.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.49 / $15.73 / $30.15