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Wisconsin rates for HCPCS L0980

Peroneal Straps Prefabricated Off-The-Shelf Pair (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.38 / $10.38 / $10.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.34 / $10.38 / $17.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.58 / $22.64 / $37.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.80 / $19.14 / $25.31
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.81 / $44.04 / $44.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.34 / $42.21 / $85.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.74 / $30.00 / $38.95
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.34 / $15.57 / $23.67
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.80 / $19.67 / $24.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.38 / $20.58 / $101.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $11.45 / $22.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.97 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.34 / $15.57 / $23.67
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.80 / $19.67 / $24.70
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.58 / $31.69 / $59.22
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.34 / $40.20 / $101.74
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.74 / $13.34 / $129.84
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.58 / $20.58 / $20.58
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.58 / $20.58 / $20.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.21 / $10.79 / $20.58