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Wisconsin rates for HCPCS L5711

Additions Exoskeletal Knee-Shin System Single Axis Manual Lock Ultra-Light Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$365.47 / $365.47 / $365.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.33 / $365.47 / $606.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.48 / $796.93 / $1,318.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.60 / $673.77 / $891.11
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$521.20 / $1,550.39 / $1,550.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.67 / $1,498.11 / $3,024.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.13 / $1,066.80 / $1,371.14
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.85 / $548.21 / $833.15
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.82 / $724.48 / $869.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.41 / $724.48 / $3,286.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.35 / $470.98 / $788.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $422.95
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.85 / $548.21 / $833.15
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.82 / $724.48 / $869.38
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.48 / $1,114.98 / $1,875.92
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.67 / $1,415.00 / $3,286.44
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.13 / $468.67 / $4,010.98
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.48 / $724.48 / $724.48
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.48 / $724.48 / $724.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.20 / $383.20 / $383.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.55 / $434.69 / $642.33