go back

Wisconsin rates for HCPCS L6611

Addition to upper extremity prosthesis, external powered, additional switch, any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.73 / $250.73 / $250.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.17 / $250.73 / $420.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$497.03 / $546.73 / $904.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.32 / $462.24 / $611.34
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.56 / $1,063.64 / $1,063.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.50 / $1,097.02 / $2,074.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.70 / $827.78 / $940.66
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.01 / $397.62 / $571.58
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.57 / $485.15 / $596.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.73 / $497.03 / $2,314.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.14 / $333.35 / $541.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.01 / $397.62 / $571.58
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.57 / $485.15 / $596.44
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.03 / $764.90 / $1,328.90
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.50 / $970.76 / $2,314.59
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.70 / $321.50 / $2,502.40
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.03 / $497.03 / $497.03
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.03 / $497.03 / $497.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.01 / $295.36 / $426.27