go back

Wisconsin rates for HCPCS L8047

Nasal septal prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$838.26 / $838.26 / $838.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.60 / $838.26 / $1,391.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,661.69 / $1,827.86 / $3,024.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,495.52 / $1,545.37 / $2,043.87
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.19 / $1,422.48 / $3,556.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$926.75 / $3,435.25 / $6,936.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$787.74 / $2,767.49 / $3,144.88
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$477.68 / $1,257.39 / $1,910.94
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$951.44 / $1,661.69 / $1,994.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$826.88 / $1,661.69 / $7,755.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.51 / $1,110.29 / $1,809.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $85.00 / $1,059.19
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$477.68 / $1,257.39 / $1,910.94
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$951.44 / $1,661.69 / $1,994.03
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,661.69 / $2,557.27 / $4,439.37
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$926.75 / $3,245.48 / $7,755.74
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$787.74 / $926.75 / $8,729.28
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,661.69 / $1,661.69 / $1,661.69
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,661.69 / $1,661.69 / $1,661.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $986.56 / $1,473.28