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Wisconsin rates for HCPCS L7510

Repair Of Prosthetic Device Repair Or Replace Minor Parts (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.86 / $182.86 / $182.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.41 / $182.86 / $182.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.80 / $57.50 / $57.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.62 / $14.74 / $22.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $6.56 / $179.84
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.20 / $182.86 / $329.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $182.86 / $279.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.40 / $111.40 / $111.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.20 / $182.86 / $329.15
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $65.00 / $90.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.84 / $179.84 / $179.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.40 / $111.40 / $111.40