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Wisconsin rates for HCPCS L6630

Upper extremity addition, stainless steel, any wrist

Facilitymedian $355 · 10th–90th $282$6460%50%10th90th$355Professionalmedian $219 · 10th–90th $126$5010%20%10th90th$219$0.2$1.0$5.0$20.0$100.0$500.0

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
$173.78 / $173.78 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $169.82 / $288.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $354.81 / $575.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $323.59 / $389.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $812.83 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $501.19 / $660.69
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $281.84 / $436.52
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $416.87 / $512.86
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $346.74 / $1,318.26
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $194.98 / $389.05
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $58.88 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $562.34 / $562.34
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $398.11 / $691.83
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $524.81 / $812.83
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $707.95 / $1,318.26
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $234.42 / $1,698.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $194.98 / $354.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $173.78 / $288.40