go back

Wisconsin rates for HCPCS L6000

Partial Hand Robin-Aids Thumb Remaining (Revised 010112)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,072.66 / $1,072.66 / $1,072.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$664.33 / $1,072.66 / $1,781.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,126.34 / $2,338.96 / $3,869.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,913.70 / $1,977.50 / $2,615.39
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,529.68 / $4,550.37 / $4,550.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.64 / $4,395.85 / $8,876.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.07 / $3,081.56 / $4,024.26
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$513.63 / $1,608.99 / $2,445.29
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,217.49 / $2,126.34 / $2,551.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$889.11 / $2,118.69 / $8,461.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$953.62 / $1,198.73 / $2,315.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $1,120.89
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$513.63 / $1,608.99 / $2,445.29
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,217.49 / $2,126.34 / $2,551.61
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,126.34 / $3,189.51 / $4,773.60
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.64 / $4,153.00 / $8,461.77
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.07 / $1,020.64 / $11,850.71
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,126.34 / $2,126.34 / $2,126.34
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,697.82 / $2,126.34 / $2,126.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$719.08 / $1,198.46 / $2,126.34