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Wisconsin rates for HCPCS A6510

Compression burn garment, trunk, including arms down to leg openings (leotard), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $281.84 / $436.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $309.03
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $1.26 / $1.95
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $977.24 / $1,318.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $1.26 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $407.38 / $407.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $54.95 / $85.11
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
$257.04 / $257.04 / $316.23
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $309.03