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Wisconsin rates for HCPCS L3470

Heel Thomas Extended To Ball (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.86 / $37.86 / $37.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.84 / $37.86 / $68.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.06 / $82.58 / $136.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.56 / $69.81 / $92.33
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.00 / $160.65 / $160.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.91 / $165.31 / $313.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.59 / $108.75 / $142.08
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.60 / $56.81 / $86.33
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.98 / $73.27 / $90.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.39 / $75.06 / $349.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.78 / $39.32 / $81.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.87 / $58.40 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.60 / $56.81 / $86.33
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.98 / $73.27 / $90.08
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.06 / $115.52 / $200.74
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.91 / $146.62 / $349.60
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.59 / $41.91 / $378.23
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.06 / $75.06 / $75.06
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.06 / $75.06 / $75.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.89 / $38.67 / $66.56