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Wisconsin rates for HCPCS K0047

Elevating Legrest Upper Hanger Bracket Replacement Only Each (Desc Revised 1/1/2017)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.46 / $56.46 / $56.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.47 / $50.81 / $66.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.10 / $151.24 / $151.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.27 / $77.28 / $112.17
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.64 / $49.67 / $177.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.52 / $54.52 / $221.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.52 / $96.38 / $120.47
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.25 / $73.68 / $105.92
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.18 / $61.18 / $110.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.25 / $110.52 / $391.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.40 / $51.18 / $107.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.63 / $54.39 / $65.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.25 / $73.68 / $105.92
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.18 / $61.18 / $110.52
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.97 / $20.51 / $26.63
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.52 / $161.34 / $391.25
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.52 / $54.52 / $65.30
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.59 / $87.59 / $87.59
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.59 / $87.59 / $87.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.79 / $50.93 / $101.31