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Wisconsin rates for HCPCS L5710

Addition Exoskeletal Knee-Shin System Single Axis Manual Lock

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.77 / $217.77 / $217.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.99 / $217.77 / $377.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$431.68 / $474.85 / $785.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.51 / $401.46 / $530.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.55 / $923.80 / $923.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.26 / $892.11 / $1,801.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.86 / $625.78 / $816.99
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.03 / $326.66 / $496.43
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.17 / $431.68 / $575.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.77 / $431.68 / $2,318.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.71 / $288.44 / $487.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $291.32
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.03 / $328.27 / $496.43
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.17 / $431.68 / $575.57
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.68 / $664.34 / $1,291.76
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.26 / $843.12 / $2,318.80
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.86 / $279.26 / $3,376.71
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.68 / $431.68 / $431.68
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.68 / $431.68 / $431.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.68 / $287.68 / $287.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.98 / $287.14 / $382.73