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Wisconsin rates for HCPCS L8511

Insert for indwelling tracheo-esophageal prosthesis, with or without valve, replacement only, each

Facilitymedian $89 · 10th–90th $79$1620%50%10th90th$89Professionalmedian $65 · 10th–90th $38$1350%10%20%10th90th$65$0.1$0.5$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $43.65 / $43.65
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $43.65 / $72.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $89.13 / $147.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $83.18 / $97.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $204.17 / $436.52
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $125.89 / $169.82
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $72.44 / $109.65
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $85.11 / $107.15
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $87.10 / $407.38
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $56.23 / $100.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $64.57 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $141.25 / $141.25
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $100.00 / $173.78
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $134.90 / $245.47
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $177.83 / $407.38
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $109.65 / $446.68
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $58.88 / $89.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $43.65 / $72.44