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Wisconsin rates for HCPCS L2006

Knee Ankle Foot Device Any Material Single Or Double Upright Swing And/Or Stance Phase Microprocessor Control With Adjustability Includes All Components (E.G. Sensors Batteries Charger) Any Type Activation With Or Without Ankle Joint(S) Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,554.28 / $19,554.28 / $19,554.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19,554.28 / $20,945.27 / $26,933.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,762.62 / $42,638.89 / $70,547.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36,049.25 / $38,762.62 / $54,000.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,537.43 / $82,952.03 / $82,952.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104,174.88 / $121,736.59 / $186,747.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31,019.05 / $64,557.97 / $73,361.33
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,554.28 / $30,903.70 / $44,577.02
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38,762.62 / $39,155.01 / $46,515.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,267.05 / $38,762.62 / $182,487.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19,874.21 / $24,842.77 / $44,034.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,554.28 / $30,903.70 / $44,577.02
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38,762.62 / $39,155.01 / $46,515.16
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38,762.62 / $60,358.17 / $113,236.43
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75,708.28 / $75,708.28 / $182,487.33
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31,019.05 / $170,343.62 / $196,622.34
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38,762.62 / $38,762.62 / $38,762.62
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38,762.62 / $38,762.62 / $38,762.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,970.96 / $23,257.58 / $42,207.73