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Wisconsin rates for HCPCS L0810

Halo Procedure Cervical Halo Incorporated Into Jacket Vest

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,624.62 / $1,624.62 / $1,624.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,436.31 / $1,624.62 / $2,727.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,220.50 / $3,542.55 / $5,861.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,785.41 / $2,995.07 / $3,961.21
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,316.82 / $6,891.87 / $6,891.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,815.81 / $6,657.57 / $13,442.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,325.54 / $4,666.88 / $6,095.05
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$935.93 / $2,436.92 / $3,703.58
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,843.95 / $3,220.50 / $3,874.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,620.13 / $3,220.50 / $15,138.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,340.41 / $1,691.37 / $3,624.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $1,997.14
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$935.93 / $2,436.92 / $3,703.58
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,843.95 / $3,220.50 / $3,874.60
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,220.50 / $4,956.22 / $8,699.07
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,815.81 / $6,290.04 / $15,138.02
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,325.54 / $1,815.81 / $18,962.96
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,220.50 / $3,220.50 / $3,220.50
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,571.44 / $3,220.50 / $3,220.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,208.11 / $1,691.37 / $3,506.73