go back

Wisconsin rates for HCPCS L5010

Partial Foot Molded Socket Ankle Height With Toe Filler (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$975.21 / $975.21 / $975.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$639.08 / $975.21 / $1,619.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,933.16 / $2,126.48 / $3,518.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,739.84 / $1,797.84 / $2,377.78
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,390.72 / $4,136.96 / $4,136.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$913.06 / $3,996.23 / $8,068.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.53 / $2,801.25 / $3,658.65
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.62 / $1,462.82 / $2,223.13
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,106.86 / $1,619.33 / $2,319.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.66 / $1,933.16 / $7,602.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$842.51 / $1,098.35 / $2,104.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $986.11
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.62 / $1,462.82 / $2,223.13
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,106.86 / $1,619.33 / $2,319.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,933.16 / $2,899.74 / $4,374.12
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$913.06 / $3,775.70 / $7,602.61
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.53 / $913.06 / $9,088.15
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,933.16 / $1,933.16 / $1,933.16
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,933.16 / $1,933.16 / $1,933.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$658.87 / $1,097.02 / $1,933.16