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Wisconsin rates for HCPCS L5560

Preparatory Above Knee- Knee Disarticulation Ischial Level 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
$1,421.70 / $1,421.70 / $1,421.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$971.77 / $1,421.70 / $2,360.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.25 / $3,100.08 / $5,129.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,536.42 / $2,620.96 / $3,466.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,027.44 / $6,031.06 / $6,031.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,823.10 / $5,826.41 / $11,763.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,330.86 / $4,084.22 / $5,333.76
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$751.32 / $2,132.55 / $3,240.99
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,613.67 / $2,818.25 / $3,381.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.58 / $2,818.25 / $12,483.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,269.49 / $1,753.09 / $3,068.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $1,574.28
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$751.32 / $2,132.55 / $3,240.99
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,613.67 / $2,818.25 / $3,381.90
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.25 / $4,337.21 / $6,982.74
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,823.10 / $5,504.40 / $12,483.67
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,330.86 / $1,823.10 / $15,210.51
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.25 / $2,818.25 / $2,818.25
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.25 / $2,818.25 / $2,818.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$969.83 / $1,537.88 / $2,498.71