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Wisconsin rates for HCPCS L8699

Prosthetic Implant, Not Otherwise Specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.97 / $2,433.98 / $63,690.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.29 / $2,231.50 / $35,325.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.89 / $269.89 / $269.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.41 / $229.41 / $277.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $900.00 / $2,622.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $85.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $269.89 / $900.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.41 / $269.89 / $269.89