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Wisconsin rates for HCPCS L5341

Hemipelvectomy Canadian Type Molded Socket Endoskeletal System Hip Joint Single Axis Knee Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,387.29 / $3,387.29 / $3,387.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,644.37 / $3,387.29 / $5,624.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,714.65 / $7,386.12 / $12,220.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,043.18 / $6,244.62 / $8,259.01
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,830.50 / $14,369.35 / $14,369.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,790.37 / $14,825.13 / $28,027.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,766.97 / $9,730.31 / $12,708.01
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,953.69 / $5,080.93 / $7,721.85
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,844.66 / $6,714.65 / $8,087.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,381.92 / $6,714.65 / $32,412.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,066.89 / $4,486.55 / $7,565.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $4,531.42
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,953.69 / $5,080.93 / $7,721.85
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,844.66 / $6,714.65 / $8,087.97
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,714.65 / $10,333.64 / $18,157.93
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,790.37 / $13,114.56 / $32,412.74
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,766.97 / $3,790.37 / $51,633.18
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,714.65 / $6,714.65 / $6,714.65
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,714.65 / $6,714.65 / $6,714.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,521.88 / $4,035.00 / $5,953.32