go back

Wisconsin rates for HCPCS L5973

Endoskeletal Ankle Foot System, Microprocessor Controlled Featu

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,751.73 / $10,751.73 / $10,751.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,698.98 / $10,751.73 / $17,851.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,313.25 / $23,444.58 / $38,790.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19,099.55 / $19,821.32 / $26,215.29
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,332.71 / $45,610.36 / $45,610.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,752.32 / $47,058.14 / $88,963.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,309.19 / $30,885.47 / $40,336.99
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,364.39 / $17,050.59 / $24,510.24
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20,713.39 / $21,313.25 / $25,575.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,751.73 / $21,313.25 / $98,186.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,740.92 / $14,143.08 / $23,229.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,364.39 / $17,050.59 / $24,510.24
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20,713.39 / $21,313.25 / $25,575.90
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21,313.25 / $32,800.39 / $56,335.67
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,752.32 / $41,627.44 / $98,186.49
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,309.19 / $12,752.32 / $106,003.63
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21,313.25 / $21,313.25 / $21,313.25
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21,313.25 / $21,313.25 / $21,313.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,824.10 / $12,518.55 / $18,896.66