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Wisconsin rates for HCPCS A6507

Compression Burn Garment Foot To Knee Length Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.00 / $65.31 / $98.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$618.16 / $722.38 / $960.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.87 / $187.74 / $287.81
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.02 / $2.02 / $3.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.02 / $2.02 / $3.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.93 / $108.93 / $108.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.02 / $2.02 / $3.05
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 / $100.00 / $174.25
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.87 / $93.87 / $93.87