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Wisconsin rates for HCPCS L5600

Preparatory Hip Disarticulation-Hemipelvectomy Pylon No Cover Sach Foot Laminated Socket Molded To Patient Model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,175.75 / $3,175.75 / $3,175.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,282.54 / $3,175.75 / $5,272.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,295.32 / $6,924.85 / $11,457.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,854.65 / $5,854.65 / $7,743.24
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,528.84 / $13,471.98 / $13,471.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,072.36 / $13,014.94 / $26,276.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,972.82 / $9,122.81 / $11,914.38
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,718.86 / $4,763.63 / $7,239.62
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,604.54 / $6,295.32 / $7,554.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,975.41 / $6,295.32 / $28,628.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,698.25 / $4,010.66 / $6,854.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $3,601.58
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,718.86 / $4,763.63 / $7,239.62
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,604.54 / $6,295.32 / $7,554.38
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,295.32 / $9,688.27 / $15,975.89
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,072.36 / $12,295.54 / $28,628.31
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,972.82 / $4,072.36 / $40,587.48
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,295.32 / $6,295.32 / $6,295.32
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,295.32 / $6,295.32 / $6,295.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,218.73 / $3,297.70 / $5,399.21