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Wisconsin rates for HCPCS A6507

Compression burn garment, foot to knee length, custom fabricated

Facilitymedian $3 · 10th–90th $2–$8130%20%40%10th90th$3Professionalmedian $2 · 10th–90th $2–$680%50%90th$2$1.0$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $97.72 / $151.36
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $724.44 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $288.40 / $331.13
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $2.04 / $3.63
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $229.09 / $309.03
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $2.04 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $109.65 / $109.65
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $54.95 / $81.28
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,888.44 / $5,888.44 / $5,888.44
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $162.18 / $173.78
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $93.33 / $109.65