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Wisconsin rates for HCPCS L8514

Tracheoesophageal Puncture Dilator Replacement Only Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.43 / $57.43 / $57.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.68 / $57.43 / $96.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.85 / $125.24 / $207.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.42 / $105.88 / $140.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.90 / $243.64 / $243.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.38 / $251.45 / $475.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.81 / $167.64 / $215.46
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.76 / $86.15 / $130.93
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.19 / $111.09 / $136.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.70 / $113.85 / $532.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.99 / $76.08 / $123.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.76 / $86.15 / $130.93
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.19 / $111.09 / $136.62
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.85 / $175.20 / $304.12
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.38 / $222.36 / $532.02
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.81 / $90.38 / $573.15
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.85 / $113.85 / $113.85
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.85 / $113.85 / $113.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.36 / $68.31 / $123.96