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Wisconsin rates for HCPCS L8465

Prosthetic Shrinker Upper Limb Each (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.29 / $37.29 / $37.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.52 / $37.29 / $65.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.93 / $81.31 / $134.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.53 / $68.75 / $90.93
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.19 / $158.21 / $158.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.25 / $152.91 / $307.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.19 / $107.34 / $139.93
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.86 / $55.95 / $85.02
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.34 / $58.54 / $88.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.64 / $73.93 / $304.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.60 / $44.00 / $80.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.80 / $58.40 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.86 / $55.95 / $85.02
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.34 / $58.54 / $88.72
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.93 / $111.64 / $175.65
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.25 / $144.40 / $304.39
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.19 / $37.25 / $325.36
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.93 / $73.93 / $73.93
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.04 / $73.93 / $73.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.59 / $38.94 / $63.41