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Wisconsin rates for HCPCS L5848

Addition To Endoskeletal Knee-Shin System Fluid Stance Extension Dampening

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$654.87 / $654.87 / $654.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.69 / $654.87 / $1,097.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,298.16 / $1,427.98 / $2,362.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,168.33 / $1,207.29 / $1,596.73
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.89 / $2,778.06 / $2,778.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.63 / $2,866.24 / $5,419.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.98 / $1,881.09 / $2,456.86
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.50 / $982.31 / $1,492.88
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.30 / $1,267.04 / $1,557.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$646.54 / $1,298.16 / $6,045.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.76 / $867.39 / $1,413.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $876.06
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.50 / $982.31 / $1,492.88
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.30 / $1,267.04 / $1,557.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,298.16 / $1,997.81 / $3,471.80
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.63 / $2,535.46 / $6,045.06
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.98 / $724.63 / $6,535.45
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,298.16 / $1,298.16 / $1,298.16
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,036.56 / $1,298.16 / $1,298.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.16 / $863.51 / $1,298.16