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Wisconsin rates for HCPCS L8613

Ossicula Implant (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.22 / $206.95 / $895.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.22 / $206.95 / $343.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.25 / $451.28 / $746.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.22 / $381.53 / $504.60
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.14 / $877.94 / $877.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.27 / $1,102.97 / $1,713.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.13 / $603.89 / $776.43
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.40 / $310.43 / $471.79
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.90 / $354.45 / $492.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.06 / $410.25 / $1,565.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.44 / $231.98 / $446.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.40 / $310.43 / $471.79
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.90 / $354.45 / $492.30
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.25 / $615.38 / $923.40
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.27 / $801.26 / $1,565.88
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.13 / $274.27 / $1,930.99
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.25 / $410.25 / $410.25
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.25 / $410.25 / $410.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.31 / $204.67 / $363.73