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Wisconsin rates for HCPCS L0820

Halo Procedure Cervical Halo Incorporated Into Plaster Body Jacket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,277.98 / $1,277.98 / $1,277.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,161.91 / $1,277.98 / $2,206.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,533.35 / $2,786.69 / $4,610.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,356.02 / $2,356.02 / $3,116.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,822.49 / $5,421.37 / $5,421.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,638.80 / $5,237.30 / $10,573.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,196.32 / $4,219.20 / $4,794.55
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$783.77 / $1,916.97 / $2,913.35
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,450.54 / $2,533.35 / $3,054.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,277.98 / $2,572.48 / $12,562.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.50 / $1,416.40 / $2,860.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $970.09
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$783.77 / $1,916.97 / $2,913.35
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,450.54 / $2,533.35 / $3,054.37
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,533.35 / $3,898.75 / $7,284.85
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,638.80 / $4,947.93 / $12,562.85
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,196.32 / $1,638.80 / $15,057.95
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,533.35 / $2,533.35 / $2,533.35
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,533.35 / $2,533.35 / $2,533.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.94 / $1,278.89 / $1,376.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,009.26 / $1,263.85 / $2,422.41