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Wisconsin rates for HCPCS L6050

Wrist Disarticulation Molded Socket Flexible Elbow Hinges Triceps Pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.80 / $1,513.80 / $1,513.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.79 / $1,513.80 / $2,513.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,000.82 / $3,300.90 / $5,461.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,595.40 / $2,790.76 / $3,691.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,158.79 / $6,421.75 / $6,421.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.68 / $6,203.53 / $12,526.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.02 / $4,997.77 / $5,679.29
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$734.33 / $2,270.69 / $3,450.94
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,718.20 / $3,000.82 / $3,600.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,271.15 / $3,000.82 / $12,107.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,314.60 / $1,713.81 / $3,267.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $1,512.84
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$734.33 / $2,270.69 / $3,450.94
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,718.20 / $3,000.82 / $3,600.98
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,000.82 / $4,501.22 / $6,825.16
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.68 / $5,860.98 / $12,107.67
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.02 / $1,424.68 / $14,545.68
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,000.82 / $3,000.82 / $3,000.82
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,000.82 / $3,000.82 / $3,000.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.05 / $1,713.44 / $3,000.82