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Wisconsin rates for HCPCS L0200

Cervical Multiple Post Collar Occipital/Mandibular Supports Adjustable Cervical Bars And Thoracic Extension

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.13 / $375.13 / $375.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.27 / $375.13 / $524.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$743.62 / $817.98 / $1,353.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.16 / $691.57 / $914.65
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$534.95 / $1,591.35 / $1,591.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$378.92 / $1,537.53 / $3,104.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.61 / $1,077.66 / $1,407.35
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.38 / $562.70 / $855.16
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.77 / $743.62 / $892.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$324.35 / $743.62 / $3,116.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.24 / $370.98 / $809.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $236.20
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.38 / $562.70 / $855.16
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.77 / $743.62 / $892.34
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.62 / $1,115.43 / $1,741.42
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$378.92 / $1,452.38 / $3,116.55
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.61 / $378.92 / $4,135.50
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.62 / $743.62 / $743.62
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.75 / $743.62 / $743.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.32 / $370.98 / $659.31