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Wisconsin rates for HCPCS A6511

Compression burn garment, lower trunk including leg openings (panty), 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
$141.25 / $169.82 / $257.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $194.98
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $1.26 / $1.95
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $707.95 / $954.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $1.26 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $281.84 / $281.84
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
$457.09 / $457.09 / $741.31
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $194.98