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Wisconsin rates for HCPCS L8000

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Facilitymedian $76 · 10th–90th $49$2290%20%10th90th$76Professionalmedian $40 · 10th–90th $22$910%10%20%10th90th$40$0.1$0.2$1.0$5.0$20.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $109.65 / $302.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $25.70 / $81.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $52.48 / $85.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $48.98 / $58.88
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $63.10 / $85.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $120.23 / $257.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $74.13 / $97.72
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $41.69 / $64.57
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $64.57 / $81.28
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $51.29 / $229.09
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $33.11 / $70.79
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $58.88 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $83.18 / $83.18
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $58.88 / $102.33
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $77.62 / $138.04
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $104.71 / $275.42
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $51.29 / $323.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $33.11 / $52.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $25.70 / $42.66