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Wisconsin rates for HCPCS L2405

Addition To Knee Joint Drop Lock Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.99 / $52.99 / $52.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.16 / $52.99 / $95.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.04 / $115.54 / $191.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.53 / $97.69 / $129.19
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.56 / $224.79 / $224.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.95 / $217.64 / $438.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.61 / $152.34 / $198.80
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.22 / $79.48 / $120.80
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.15 / $102.52 / $126.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.32 / $105.04 / $489.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.88 / $55.03 / $114.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $61.57 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.22 / $79.48 / $120.80
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.15 / $102.52 / $126.05
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.04 / $161.66 / $281.04
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.95 / $205.16 / $489.15
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.61 / $67.95 / $528.83
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.04 / $105.04 / $105.04
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.89 / $105.04 / $105.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.01 / $52.41 / $93.13