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Wisconsin rates for HCPCS L5826

Addition Endoskeletal Knee-Shin System Single Axis Hydraulic Swing Phase Control With Miniature High Activity Frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,901.83 / $1,901.83 / $1,901.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,578.98 / $1,901.83 / $3,186.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,770.02 / $4,147.02 / $6,861.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,393.01 / $3,506.12 / $4,637.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,712.14 / $8,067.84 / $8,067.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,677.88 / $7,794.52 / $15,736.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,954.85 / $5,463.28 / $7,135.06
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,091.50 / $2,852.75 / $4,335.52
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,158.62 / $3,679.64 / $4,524.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,889.43 / $3,770.02 / $17,719.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,713.43 / $2,519.02 / $4,126.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $2,430.59
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,091.50 / $2,852.75 / $4,335.52
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,158.62 / $3,679.64 / $4,524.02
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,770.02 / $5,801.93 / $10,144.40
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,677.88 / $7,363.32 / $17,719.04
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,954.85 / $2,677.88 / $18,980.66
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,770.02 / $3,770.02 / $3,770.02
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,770.02 / $3,770.02 / $3,770.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,408.94 / $2,507.76 / $4,105.08