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Wisconsin rates for HCPCS L8515

Gelatin Capsule Application Device For Use With Tracheoesophageal Voice

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.45 / $38.45 / $38.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.91 / $38.45 / $64.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.22 / $83.84 / $138.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.91 / $70.88 / $93.75
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.82 / $163.11 / $163.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.76 / $168.31 / $317.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.20 / $126.94 / $144.25
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.92 / $57.68 / $87.65
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.63 / $74.34 / $91.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.95 / $76.22 / $354.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.79 / $50.92 / $82.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.92 / $57.68 / $87.65
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.63 / $74.34 / $91.46
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.22 / $117.28 / $203.75
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.76 / $148.86 / $354.84
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.20 / $43.76 / $383.76
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.22 / $76.22 / $76.22
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.22 / $76.22 / $76.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.30 / $45.73 / $67.56