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Wisconsin rates for HCPCS L8631

Metacarpophalangeal joint replacement, two or more pieces, metal (e.g., stainless steel or cobalt chrome), ceramic-like material (e.g., pyrocarbon), for surgical implantation (all sizes, includes entire system)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,339.67 / $1,339.67 / $1,339.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,130.47 / $1,339.67 / $2,281.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,655.63 / $2,921.19 / $4,833.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,469.73 / $2,469.73 / $3,266.42
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,910.44 / $5,683.05 / $5,683.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,482.94 / $7,920.00 / $11,084.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,260.50 / $3,910.01 / $5,025.99
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$764.36 / $2,009.51 / $3,053.97
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,520.54 / $2,655.63 / $3,186.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,323.14 / $2,655.63 / $11,409.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.90 / $1,774.41 / $2,891.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$764.36 / $2,009.51 / $3,053.97
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,520.54 / $2,655.63 / $3,186.76
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,655.63 / $4,086.90 / $7,104.19
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,482.94 / $5,186.78 / $11,409.47
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,260.50 / $1,482.94 / $13,194.36
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,655.63 / $2,655.63 / $2,655.63
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,655.63 / $2,655.63 / $2,655.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,057.96 / $1,578.65 / $2,277.61