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Wisconsin rates for HCPCS L8330

Truss Addition To Standard Pad Scrotal Pad (Special Coverage Instructions Apply. See Cim: 70-1 70-2 And Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.89 / $29.89 / $29.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.89 / $32.42 / $65.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.25 / $65.18 / $107.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.10 / $55.10 / $72.87
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.63 / $126.80 / $126.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.03 / $122.89 / $247.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.03 / $85.78 / $112.14
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.07 / $44.84 / $68.14
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.93 / $59.25 / $79.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.89 / $59.25 / $321.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.55 / $39.59 / $66.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.79 / $58.40 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.07 / $45.73 / $68.14
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.93 / $59.25 / $79.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.25 / $91.19 / $177.65
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.03 / $115.72 / $321.47
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.03 / $37.03 / $398.48
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.25 / $59.25 / $59.25
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.25 / $59.25 / $59.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $35.54 / $50.82