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Wisconsin rates for HCPCS L6550

Shoulder Disarticulation Molded Socket Endoskeletal System Including Soft Prosthetic Tissue Shaping

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.62 / $2,754.62 / $2,754.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.16 / $2,754.62 / $4,573.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,460.50 / $6,006.55 / $9,938.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,914.45 / $5,078.27 / $6,716.41
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,928.28 / $11,685.47 / $11,685.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,532.34 / $11,288.86 / $22,791.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,578.61 / $7,912.97 / $10,334.43
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,474.07 / $4,131.93 / $6,279.58
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,126.55 / $5,460.50 / $6,552.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,551.69 / $5,460.50 / $24,019.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,455.44 / $3,439.51 / $5,945.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $2,646.67
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,474.07 / $4,131.93 / $6,279.58
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,126.55 / $5,460.50 / $6,552.60
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,460.50 / $8,403.51 / $13,700.51
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,532.34 / $10,665.04 / $24,019.87
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,578.61 / $3,532.34 / $30,222.77
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,460.50 / $5,460.50 / $5,460.50
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,460.50 / $5,460.50 / $5,460.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,050.06 / $3,050.06 / $3,050.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,816.12 / $3,276.30 / $5,286.57