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Wisconsin rates for HCPCS L6648

Upper Extremity Addition Shoulder Lock Mechanism External Powered Actuator

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $1,981.00 / $1,981.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,644.71 / $1,981.00 / $3,318.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,926.95 / $4,319.64 / $7,147.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,652.06 / $3,652.06 / $4,830.14
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,825.03 / $8,403.67 / $8,403.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,540.30 / $8,669.86 / $16,391.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,854.42 / $5,690.63 / $7,432.05
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,129.84 / $2,971.50 / $4,515.99
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,248.46 / $3,832.80 / $4,712.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,955.82 / $3,926.95 / $18,286.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,793.14 / $2,623.87 / $4,275.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $2,650.11
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,129.84 / $2,971.50 / $4,515.99
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,248.46 / $3,832.80 / $4,712.34
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,926.95 / $6,043.44 / $10,500.71
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,540.30 / $7,669.82 / $18,286.54
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,854.42 / $2,540.30 / $19,770.65
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,926.95 / $3,926.95 / $3,926.95
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,926.95 / $3,926.95 / $3,926.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,564.44 / $2,312.67 / $3,367.97