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Wisconsin rates for HCPCS A6501

Compression burn garment, bodysuit (head to foot), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.01 / $5.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $380.19 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $30.90 / $30.90
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.01 / $7.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.01 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $251.19 / $251.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $50.12 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,888.44 / $5,888.44 / $5,888.44
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $70.79 / $194.98
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $30.90 / $30.90