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Wisconsin rates for HCPCS L6590

Preparatory Shoulder Disarticulation Or Interscapular Thoracic Single Wall Socket Shoulder Joint Locking Elbow Friction Wrist Chest Strap Fair Lead Cable Control Usmc Or Equal Pylon No Cover Direct Formed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,891.17 / $1,891.17 / $1,891.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,386.10 / $1,891.17 / $3,140.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,748.87 / $4,123.76 / $6,822.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,373.98 / $3,486.45 / $4,611.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,696.94 / $8,022.58 / $8,022.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,425.11 / $7,750.44 / $15,648.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,770.33 / $5,432.81 / $7,095.04
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.02 / $2,836.76 / $4,311.20
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,146.52 / $3,409.89 / $4,498.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.50 / $3,748.87 / $16,380.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,607.50 / $2,373.05 / $4,082.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $2,104.87
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.02 / $2,836.76 / $4,311.20
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,146.52 / $3,409.89 / $4,498.64
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,748.87 / $5,769.40 / $9,452.85
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,425.11 / $7,322.02 / $16,380.05
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,770.33 / $2,425.11 / $19,267.33
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,748.87 / $3,748.87 / $3,748.87
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,993.39 / $3,748.87 / $3,748.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,246.84 / $1,870.28 / $3,215.26