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Wisconsin rates for HCPCS L6616

Upper extremity addition, additional disconnect insert for locking wrist unit, each

Facilitymedian $79 · 10th–90th $65$1450%50%10th90th$79Professionalmedian $60 · 10th–90th $37$1200%20%10th90th$60$0.1$0.5$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $38.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $38.90 / $74.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $131.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $74.13 / $87.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $181.97 / $389.05
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $112.20 / $151.36
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $64.57 / $97.72
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $120.23 / $147.91
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $77.62 / $407.38
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $51.29 / $89.13
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $58.88 / $83.18
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$125.89 / $125.89 / $125.89
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $89.13 / $154.88
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $123.03 / $245.47
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $158.49 / $407.38
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $74.13 / $489.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $58.88 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $38.90 / $66.07