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Wisconsin rates for HCPCS L5980

All Lower Extremity Prostheses Flex Foot System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,313.40 / $2,313.40 / $2,313.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,853.81 / $2,313.40 / $3,841.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,585.87 / $5,044.46 / $8,346.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,127.28 / $4,264.85 / $5,640.62
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,299.06 / $9,813.76 / $9,813.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,780.72 / $9,481.19 / $19,141.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,029.93 / $6,645.47 / $8,679.12
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,433.28 / $3,470.10 / $5,273.75
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,625.76 / $4,585.87 / $5,503.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,313.40 / $4,585.87 / $23,421.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,132.21 / $3,064.15 / $5,177.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $3,094.79
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,433.28 / $3,518.45 / $5,273.75
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,625.76 / $4,585.87 / $5,503.04
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,585.87 / $7,057.51 / $13,321.11
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,780.72 / $8,956.78 / $23,421.34
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,029.93 / $2,780.72 / $29,548.98
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,585.87 / $4,585.87 / $4,585.87
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,661.71 / $4,585.87 / $4,585.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,826.95 / $2,933.77 / $4,585.87