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Wisconsin rates for HCPCS A6512

Compres Burn Garment, Noc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $1.26 / $1.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.26 / $1.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.00 / $125.00 / $125.00
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $1.26 / $1.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $1.26 / $2.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.70 / $77.70 / $77.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $1.26 / $1.89
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 / $65.00 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.70 / $77.70 / $77.70