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Wisconsin rates for HCPCS L6642

Upper extremity addition, excursion amplifier, lever type

Facilitymedian $355 · 10th–90th $288$6460%50%10th90th$355Professionalmedian $224 · 10th–90th $129$5370%20%10th90th$224$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
$123.03 / $173.78 / $245.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $354.81 / $588.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $331.13 / $398.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $812.83 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $501.19 / $676.08
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $288.40 / $436.52
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $316.23 / $426.58
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $346.74 / $1,445.44
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $194.98 / $389.05
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $70.79 / $100.00
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 / $537.03 / $812.83
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $707.95 / $1,479.11
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $331.13 / $1,659.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $194.98 / $354.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $173.78 / $288.40