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Wisconsin rates for HCPCS L6650

Upper Extremity Addition Shoulder Universal Joint Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.50 / $240.50 / $240.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.36 / $240.50 / $420.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$476.75 / $524.42 / $867.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.38 / $443.38 / $586.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$342.97 / $1,020.25 / $1,020.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.67 / $985.92 / $1,990.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.89 / $690.94 / $902.30
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.85 / $360.75 / $548.26
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.98 / $476.75 / $572.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.50 / $476.75 / $2,155.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.40 / $305.31 / $519.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $158.19
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.85 / $360.75 / $548.26
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.98 / $476.75 / $572.10
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.75 / $733.70 / $1,216.48
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.67 / $931.16 / $2,155.56
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.89 / $280.67 / $2,600.06
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.75 / $476.75 / $476.75
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.75 / $476.75 / $476.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.19 / $286.05 / $408.89