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Wisconsin rates for HCPCS L2580

Addition To Lower Extremity Pelvic Control Pelvic Sling

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.77 / $263.77 / $263.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.77 / $290.61 / $611.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$522.86 / $575.15 / $951.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.57 / $486.26 / $643.11
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.15 / $1,118.92 / $1,118.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.35 / $1,080.68 / $2,181.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.55 / $757.50 / $989.56
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.40 / $395.66 / $601.29
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.38 / $522.86 / $697.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.77 / $522.86 / $2,832.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.85 / $304.33 / $590.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.40 / $395.66 / $601.29
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.38 / $522.86 / $697.15
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.86 / $804.66 / $1,564.77
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.35 / $1,021.22 / $2,832.34
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.55 / $373.35 / $3,651.93
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.86 / $522.86 / $522.86
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.86 / $522.86 / $522.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.24 / $260.85 / $506.21