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Wisconsin rates for HCPCS L6350

Interscapular Thoracic Molded Socket Shoulder Bulkhead Humeral Section Internal Locking Elbow Forearm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,961.84 / $2,961.84 / $2,961.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,958.42 / $2,961.84 / $4,917.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,871.29 / $6,458.42 / $10,685.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,460.30 / $5,460.30 / $7,221.68
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,223.79 / $12,564.56 / $12,564.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,798.08 / $12,138.78 / $24,507.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,772.60 / $8,508.28 / $11,111.88
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,514.15 / $4,442.76 / $6,751.98
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,361.76 / $5,871.29 / $7,045.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.06 / $5,871.29 / $24,802.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,644.74 / $3,533.03 / $6,393.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $1,818.94
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,514.15 / $4,442.76 / $6,751.98
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,361.76 / $5,871.29 / $7,045.55
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,871.29 / $8,973.15 / $14,072.88
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,798.08 / $11,467.36 / $24,802.46
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,772.60 / $3,798.08 / $31,028.33
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,871.29 / $5,871.29 / $5,871.29
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,871.29 / $5,871.29 / $5,871.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,954.51 / $3,529.49 / $5,205.58