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Wisconsin rates for HCPCS L8630

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.99 / $271.99 / $271.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.45 / $271.99 / $451.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$539.16 / $593.08 / $981.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.42 / $501.42 / $663.16
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$387.87 / $1,153.80 / $1,153.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.68 / $1,449.00 / $2,250.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.10 / $793.91 / $1,020.40
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.22 / $407.99 / $620.03
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.70 / $404.37 / $646.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.45 / $539.16 / $2,076.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.79 / $303.95 / $587.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.22 / $407.99 / $620.03
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.70 / $404.37 / $646.99
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.16 / $808.74 / $1,210.46
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.68 / $1,053.04 / $2,076.44
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.10 / $252.68 / $2,647.22
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.16 / $539.16 / $539.16
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.16 / $539.16 / $539.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.52 / $268.98 / $462.41