go back

Wisconsin rates for HCPCS L6632

Upper Extremity Addition Latex Suspension Sleeve Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.34 / $39.34 / $39.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.43 / $39.34 / $75.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.98 / $85.78 / $141.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.52 / $72.52 / $95.91
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.10 / $166.88 / $166.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.73 / $161.35 / $326.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.57 / $112.97 / $147.58
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.11 / $59.01 / $89.68
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.65 / $77.98 / $93.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.34 / $77.93 / $406.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.26 / $52.10 / $88.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.73 / $58.40 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.11 / $59.01 / $89.68
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.65 / $77.98 / $93.58
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.98 / $120.03 / $233.86
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.73 / $152.30 / $406.12
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.57 / $48.73 / $517.77
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.98 / $77.98 / $77.98
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.98 / $77.98 / $77.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.97 / $39.97 / $39.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.07 / $51.87 / $69.14