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Wisconsin rates for HCPCS L2610

Addition To Lower Extremity Pelvic Control Hip Joint Clevis Or Thrust Bearing Lock Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.25 / $143.25 / $143.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.93 / $143.25 / $246.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.97 / $312.37 / $516.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.08 / $264.08 / $349.28
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.28 / $607.70 / $607.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.96 / $587.25 / $1,185.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.80 / $472.93 / $537.42
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.12 / $214.88 / $326.57
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.58 / $283.97 / $364.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.25 / $283.97 / $1,435.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.20 / $159.24 / $320.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $133.91
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.12 / $214.88 / $326.57
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.58 / $283.97 / $364.80
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.97 / $437.01 / $819.02
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.96 / $554.62 / $1,435.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.80 / $170.96 / $2,366.10
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.97 / $283.97 / $283.97
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.73 / $283.97 / $283.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.88 / $141.66 / $271.52