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Wisconsin rates for HCPCS L0130

Cervical Flexible Thermoplastic Collar Molded To Patient

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.78 / $92.78 / $92.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.78 / $110.39 / $208.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.91 / $202.30 / $334.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.04 / $171.04 / $226.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.30 / $393.57 / $393.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.23 / $379.92 / $766.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.15 / $266.72 / $348.06
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.20 / $139.16 / $211.50
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.30 / $183.91 / $220.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.78 / $187.54 / $1,009.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.26 / $106.98 / $200.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $297.33
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.20 / $139.16 / $211.50
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.30 / $183.91 / $220.69
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.91 / $283.02 / $550.03
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.23 / $359.20 / $1,009.99
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.15 / $126.23 / $1,176.33
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.91 / $183.91 / $183.91
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.91 / $183.91 / $183.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.80 / $91.85 / $171.77