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Wisconsin rates for HCPCS L8499

Unlisted Procedure For Miscellaneous Prosthetic Services

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.80 / $0.80
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.83 / $21.83 / $21.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.83 / $149.05 / $149.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.83 / $21.83 / $21.83
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $65.00 / $149.05
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.80 / $0.80