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Wisconsin rates for HCPCS L1310

Other Scoliosis Procedure, Postoperative Body Jacket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,091.09 / $1,091.09 / $1,091.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.61 / $1,091.09 / $1,746.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,162.89 / $2,379.17 / $3,936.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,011.49 / $2,011.49 / $2,660.35
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,555.98 / $4,628.58 / $4,628.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,399.15 / $4,471.83 / $9,028.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,021.38 / $3,134.53 / $4,093.44
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$623.69 / $1,636.65 / $2,487.32
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,238.42 / $2,162.89 / $2,595.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,079.61 / $2,162.89 / $10,269.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$893.22 / $1,132.99 / $2,357.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $1,006.99
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$623.69 / $1,636.65 / $2,487.32
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,238.42 / $2,162.89 / $2,595.46
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,162.89 / $3,328.61 / $5,796.37
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,399.15 / $4,224.39 / $10,269.56
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,021.38 / $1,399.15 / $12,333.02
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,162.89 / $2,162.89 / $2,162.89
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,162.89 / $2,162.89 / $2,162.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$841.04 / $1,079.04 / $2,162.89