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Wisconsin rates for HCPCS L5950

Addition Endoskeletal System Above Knee Ultra-Light Material (Titanium Carbon Fiber Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$471.06 / $471.06 / $471.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.14 / $471.06 / $791.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.80 / $1,027.18 / $1,699.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.42 / $868.43 / $1,148.57
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$671.78 / $1,998.33 / $1,998.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$583.49 / $1,930.58 / $3,897.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.95 / $1,353.28 / $1,767.29
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.75 / $706.59 / $1,073.86
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.66 / $933.80 / $1,120.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$471.06 / $933.80 / $4,826.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.17 / $623.94 / $1,054.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $630.17
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.75 / $720.72 / $1,073.86
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.66 / $933.80 / $1,120.56
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.80 / $1,437.10 / $2,795.30
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$583.49 / $1,823.82 / $4,826.53
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.95 / $583.49 / $6,163.10
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.80 / $933.80 / $933.80
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.62 / $933.80 / $933.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.72 / $466.72 / $466.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.02 / $621.15 / $933.80