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Wisconsin rates for HCPCS L5840

Addition Endoskeletal Knee/Shin System 4-Bar Linkage Or Multiaxial Pneumatic Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,374.91 / $2,374.91 / $2,374.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,754.23 / $2,374.91 / $3,943.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,707.80 / $5,178.58 / $8,568.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,237.02 / $4,378.25 / $5,790.59
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,386.78 / $10,074.69 / $10,074.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,364.97 / $9,732.59 / $19,651.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,456.42 / $6,822.19 / $8,909.87
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,310.23 / $3,562.37 / $5,413.97
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,695.58 / $4,707.80 / $5,649.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,268.06 / $4,707.80 / $21,225.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,120.65 / $3,057.20 / $5,126.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $1,976.79
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,310.23 / $3,562.37 / $5,413.97
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,695.58 / $4,707.80 / $5,649.36
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,707.80 / $7,245.15 / $12,177.89
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,364.97 / $9,194.92 / $21,225.02
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,456.42 / $3,364.97 / $23,979.78
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,707.80 / $4,707.80 / $4,707.80
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,707.80 / $4,707.80 / $4,707.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,691.28 / $2,824.68 / $4,037.67