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Wisconsin rates for HCPCS A6506

Compression burn garment, glove to axilla, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.00 / $82.36 / $218.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,363.39 / $1,593.23 / $2,117.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.72 / $279.44 / $634.69
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $60.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $72.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.85 / $110.85 / $110.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $60.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,900.00 / $5,900.00 / $5,900.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $80.00 / $381.85
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.72 / $139.72 / $139.72