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Wisconsin rates for HCPCS L5810

Addition Endoskeletal Knee-Shin System Single Axis Manual Lock

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.37 / $346.37 / $346.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.43 / $346.37 / $575.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$686.60 / $755.26 / $1,249.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.54 / $638.54 / $844.51
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$493.95 / $1,469.32 / $1,469.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$483.85 / $1,419.32 / $2,866.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.21 / $995.16 / $1,299.45
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.20 / $519.55 / $789.59
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.14 / $686.60 / $823.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.79 / $686.60 / $3,115.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.44 / $439.15 / $747.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $394.35
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.20 / $519.55 / $789.59
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.14 / $686.60 / $823.92
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.60 / $1,056.66 / $1,749.45
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$483.85 / $1,341.02 / $3,115.48
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.21 / $483.85 / $4,550.09
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.60 / $686.60 / $686.60
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.25 / $686.60 / $686.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.42 / $389.42 / $389.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.94 / $437.66 / $747.63