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Wisconsin rates for HCPCS L8485

Prosthetic sock, single ply, fitting, upper limb, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $7.08 / $12.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $15.14 / $25.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $14.13 / $16.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.55 / $35.48 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $21.38 / $28.84
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $12.30 / $18.62
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $19.05 / $24.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $14.79 / $79.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $9.12 / $17.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $58.88 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $22.91 / $41.69
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.55 / $30.20 / $81.28
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $14.13 / $85.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $10.00 / $21.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $8.13 / $12.59