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Wisconsin rates for HCPCS L8512

Gelatin Capsules Or Equivalent For Use With Tracheoesophageal Voiceprosthesis Replacement Only Per 10

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.33 / $1.33 / $1.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.33 / $2.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.63 / $2.89 / $4.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.36 / $2.45 / $3.23
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.90 / $5.63 / $5.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.08 / $6.02 / $11.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.77 / $3.81 / $4.98
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $2.00 / $3.02
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $2.54 / $3.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.30 / $2.63 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.19 / $1.76 / $2.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $2.00 / $3.02
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $2.54 / $3.16
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $4.04 / $7.03
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.08 / $5.14 / $80.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.77 / $2.08 / $13.25
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $2.63 / $2.63
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $2.63 / $2.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.54 / $1.76 / $1.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.58 / $2.63