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Wisconsin rates for HCPCS L5811

Addition Endoskeletal Knee-Shin System Single Axis Manual Lock Ultra-Light Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$477.99 / $477.99 / $477.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.65 / $477.99 / $793.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$947.52 / $1,042.27 / $1,724.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.76 / $881.19 / $1,165.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$681.64 / $2,027.69 / $2,027.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.94 / $1,958.70 / $3,955.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.45 / $1,372.97 / $1,793.25
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.93 / $716.99 / $1,089.65
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.53 / $947.52 / $1,167.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$477.99 / $947.52 / $4,719.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.70 / $633.11 / $1,069.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $590.74
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.93 / $718.22 / $1,089.65
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.53 / $947.52 / $1,167.14
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$947.52 / $1,458.21 / $2,620.66
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.94 / $1,850.62 / $4,719.35
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.45 / $612.94 / $6,654.78
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$947.52 / $947.52 / $947.52
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.58 / $947.52 / $947.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.70 / $657.18 / $657.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.48 / $582.27 / $840.08