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Wisconsin rates for HCPCS L6646

Upper Extremity Addition Shoulder Joint Multipositional Locking Flexion Adjustable Abduction Friction Control For Use With Body Powered Or External Powered System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,920.76 / $1,920.76 / $1,920.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,594.72 / $1,920.76 / $3,218.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,807.55 / $4,188.31 / $6,929.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,426.79 / $3,541.02 / $4,683.28
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,739.14 / $8,148.16 / $8,148.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,463.07 / $8,406.40 / $15,893.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,798.04 / $5,517.66 / $7,206.09
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,095.49 / $2,881.14 / $4,378.68
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,180.11 / $3,716.28 / $4,569.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,896.34 / $3,807.55 / $17,730.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,738.62 / $2,544.10 / $4,145.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $2,569.54
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,095.49 / $2,881.14 / $4,378.68
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,180.11 / $3,716.28 / $4,569.06
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,807.55 / $5,859.70 / $10,181.53
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,463.07 / $7,436.62 / $17,730.55
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,798.04 / $2,463.07 / $19,169.56
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,807.55 / $3,807.55 / $3,807.55
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,807.55 / $3,807.55 / $3,807.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,516.88 / $2,284.53 / $3,807.55