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Wisconsin rates for HCPCS L6130

Below Elbow Molded Double Wall Split Socket Stump Activated Locking Hinge Half Cuff

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,933.83 / $1,933.83 / $1,933.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,294.33 / $1,933.83 / $3,210.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,833.45 / $4,216.80 / $6,976.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,315.55 / $3,565.11 / $4,715.14
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,757.78 / $8,203.58 / $8,203.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,479.82 / $7,924.91 / $16,001.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,810.27 / $5,555.16 / $7,255.10
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.71 / $2,900.75 / $4,408.47
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,194.94 / $3,833.45 / $4,600.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,732.27 / $3,833.45 / $16,444.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,726.79 / $2,334.98 / $4,174.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $1,228.44
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.71 / $2,900.75 / $4,408.47
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,194.94 / $3,833.45 / $4,600.14
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,833.45 / $5,899.57 / $9,301.29
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,479.82 / $7,487.20 / $16,444.91
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,810.27 / $2,479.82 / $22,490.28
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,833.45 / $3,833.45 / $3,833.45
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,833.45 / $3,833.45 / $3,833.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,349.45 / $2,300.07 / $3,833.45