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Wisconsin rates for HCPCS K0019

Arm Pad Replacement Only Each (Desc Revised 1/1/2017)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.63 / $11.63 / $11.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $10.01 / $13.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.50 / $30.03 / $30.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.35 / $15.37 / $22.27
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.48 / $11.18 / $35.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.65 / $10.65 / $41.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.65 / $18.00 / $22.50
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.59 / $16.53 / $23.76
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.08 / $13.08 / $24.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.59 / $23.76 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.26 / $11.21 / $20.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $50.00 / $65.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.59 / $16.57 / $23.76
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.08 / $13.08 / $24.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $3.16 / $4.09
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.74 / $32.10 / $80.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.65 / $10.65 / $13.97
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.03 / $19.03 / $19.03
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.03 / $19.03 / $19.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $11.21 / $20.30