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Wisconsin rates for HCPCS L8430

Prosthetic Sock Multiple Ply Above Knee Each (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.38 / $14.38 / $14.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.78 / $14.38 / $27.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.52 / $31.37 / $51.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.66 / $26.52 / $35.07
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.52 / $61.03 / $61.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.44 / $59.08 / $118.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.46 / $41.25 / $53.98
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.55 / $21.57 / $32.79
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.32 / $28.52 / $34.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.38 / $28.52 / $140.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.26 / $19.05 / $32.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.19 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.55 / $21.57 / $32.79
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.32 / $28.52 / $34.22
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.52 / $43.88 / $79.29
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.44 / $55.70 / $140.91
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.46 / $18.44 / $160.41
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.52 / $28.52 / $28.52
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.77 / $28.52 / $28.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.36 / $17.51 / $25.28