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Wisconsin rates for HCPCS L6200

Elbow Disarticulation Molded Socket Outside Locking Hinge Forearm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,992.07 / $1,992.07 / $1,992.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,364.01 / $1,992.07 / $3,307.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,948.90 / $4,343.79 / $7,187.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,554.01 / $3,672.48 / $4,857.14
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,840.83 / $8,450.65 / $8,450.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,694.60 / $8,164.11 / $16,482.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,967.06 / $6,576.78 / $7,473.61
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,054.58 / $2,988.11 / $4,541.24
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,261.05 / $3,948.90 / $4,738.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,825.53 / $3,948.90 / $17,419.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.80 / $2,460.69 / $4,299.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $1,492.05
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,054.58 / $2,988.11 / $4,541.24
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,261.05 / $3,948.90 / $4,738.68
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,948.90 / $6,077.24 / $9,801.12
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,694.60 / $7,712.70 / $17,419.57
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,967.06 / $2,694.60 / $21,045.47
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,948.90 / $3,948.90 / $3,948.90
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,948.90 / $3,948.90 / $3,948.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,361.29 / $2,178.06 / $3,501.16