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Wisconsin rates for HCPCS A6508

Compression Burn Garment Foot To Thigh Length Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.81 / $2.81 / $2.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.81 / $2.81 / $2.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.00 / $79.52 / $124.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$999.34 / $1,167.81 / $1,552.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.00 / $197.99 / $465.00
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.81 / $2.81 / $4.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.81 / $2.81 / $5.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.32 / $108.32 / $108.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.81 / $2.81 / $4.22
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 / $78.88 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.00 / $99.00 / $99.00