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Wisconsin rates for HCPCS L6625

Upper extremity addition, rotation wrist unit with cable lock

Facilitymedian $646 · 10th–90th $575$1,1750%50%10th90th$646Professionalmedian $513 · 10th–90th $316$9770%20%10th90th$513$1.0$5.0$20.0$100.0$500.0$2.0K

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
$323.59 / $323.59 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $371.54 / $616.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $645.65 / $1,071.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $602.56 / $724.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $1,513.56 / $3,162.28
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $933.25 / $1,230.27
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $537.03 / $812.83
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $645.65 / $851.14
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $645.65 / $3,388.44
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $426.58 / $776.25
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $64.57 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,023.29 / $1,023.29
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $741.31 / $1,288.25
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $1,000.00 / $1,995.26
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $1,288.25 / $4,073.80
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $602.56 / $4,897.79
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $478.63 / $645.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $316.23 / $537.03