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Wisconsin rates for HCPCS L8691

Osseointegrated Snd Proc Rpl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,048.77 / $1,048.77 / $1,048.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.75 / $1,048.77 / $1,757.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,079.00 / $2,286.90 / $3,783.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,933.47 / $2,079.00 / $2,557.17
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,495.62 / $4,449.06 / $4,449.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,650.90 / $6,654.75 / $8,677.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,403.27 / $3,012.66 / $3,934.66
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$926.42 / $1,573.16 / $2,390.85
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,843.18 / $2,029.15 / $2,494.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,048.77 / $2,079.00 / $9,683.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,037.18 / $1,674.70 / $2,494.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $1,339.76
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$926.42 / $1,604.62 / $2,390.85
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,843.18 / $2,029.15 / $2,494.80
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,079.00 / $3,199.49 / $5,560.50
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,650.90 / $4,060.54 / $9,683.48
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,403.27 / $1,650.90 / $10,487.98
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,079.00 / $2,079.00 / $2,079.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,079.00 / $2,079.00 / $2,079.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2,159.48 / $2,162.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.32 / $1,496.73 / $2,303.96