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Wisconsin rates for HCPCS L5540

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,247.71 / $1,247.71 / $1,247.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$904.96 / $1,247.71 / $2,071.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,473.35 / $2,720.69 / $4,501.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,139.19 / $2,300.21 / $3,042.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,779.33 / $5,292.97 / $5,292.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,599.98 / $5,113.47 / $10,324.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,167.99 / $3,584.06 / $4,681.01
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.67 / $1,871.57 / $2,844.35
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,416.18 / $2,473.35 / $2,968.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,211.16 / $2,473.35 / $11,580.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,114.13 / $1,632.56 / $2,709.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $1,466.05
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.67 / $1,871.57 / $2,844.35
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,416.18 / $2,473.35 / $2,968.02
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,473.35 / $3,806.42 / $6,502.97
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,599.98 / $4,830.76 / $11,580.89
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,167.99 / $1,599.98 / $13,894.08
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,473.35 / $2,473.35 / $2,473.35
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,473.35 / $2,473.35 / $2,473.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.15 / $1,484.01 / $2,192.91