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Wisconsin rates for HCPCS E1830

Dynamic Adjustable Toe Extension/Flexion Device Includes Soft Interface Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,176.21 / $1,176.21 / $1,176.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.35 / $1,058.58 / $1,182.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,765.40 / $1,941.94 / $3,213.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,387.01 / $1,641.82 / $2,083.17
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.00 / $377.80 / $377.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,748.89 / $5,549.47 / $8,513.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.11 / $2,047.50 / $2,559.38
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.93 / $483.26 / $1,764.32
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.07 / $176.54 / $211.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.93 / $211.85 / $2,074.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.08 / $126.34 / $865.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $90.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.71 / $483.26 / $1,764.32
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.07 / $176.54 / $211.85
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.55 / $353.38 / $458.84
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $70.00 / $2,074.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.11 / $109.54 / $121.19
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.99 / $1,706.34 / $1,741.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.33 / $117.43 / $865.13