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Wisconsin rates for HCPCS L6300

Shoulder Disarticulation Molded Socket Shoulder Bulkhead Humeral Section Internal Locking Elbow Forearm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,703.17 / $2,703.17 / $2,703.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.77 / $2,703.17 / $4,488.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,358.53 / $5,894.38 / $9,752.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,822.67 / $4,983.43 / $6,590.99
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,854.92 / $11,467.25 / $11,467.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,813.78 / $11,078.73 / $22,366.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,784.06 / $7,765.31 / $10,141.44
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,440.20 / $4,054.76 / $6,162.31
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,068.18 / $5,358.53 / $6,430.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,493.05 / $5,358.53 / $23,822.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,413.77 / $3,360.47 / $5,834.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $1,697.68
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,440.20 / $4,054.76 / $6,162.31
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,068.18 / $5,358.53 / $6,430.24
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,358.53 / $8,246.60 / $13,385.34
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,813.78 / $10,465.87 / $23,822.60
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,784.06 / $3,813.78 / $28,618.56
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,358.53 / $5,358.53 / $5,358.53
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,358.53 / $5,358.53 / $5,358.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.28 / $3,215.12 / $5,358.53