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Wisconsin rates for HCPCS L5510

Preparatory Below Knee Ptb Type Socket Non-Alignable System Pylon No Cover Sach Foot Plaster Socket Molded To Model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,072.43 / $1,072.43 / $1,072.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.92 / $1,072.43 / $1,780.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,125.90 / $2,338.48 / $3,869.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,977.09 / $1,977.09 / $2,614.85
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,529.36 / $4,549.43 / $4,549.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,375.24 / $4,394.92 / $8,873.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,003.93 / $3,080.63 / $4,023.43
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.79 / $1,608.65 / $2,444.79
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,217.25 / $2,111.46 / $2,551.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$974.22 / $2,125.90 / $9,328.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$957.62 / $1,313.18 / $2,314.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $1,179.24
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.79 / $1,608.65 / $2,444.79
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,217.25 / $2,111.46 / $2,551.08
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,125.90 / $3,271.68 / $5,230.28
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,375.24 / $4,152.14 / $9,328.83
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,003.93 / $1,375.24 / $10,136.07
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,125.90 / $2,125.90 / $2,125.90
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,125.90 / $2,125.90 / $2,125.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.47 / $1,151.98 / $1,823.28