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Wisconsin rates for HCPCS L6665

Upper extremity addition, Teflon, or equal, cable lining

Facilitymedian $56 · 10th–90th $47$1020%50%10th90th$56Professionalmedian $43 · 10th–90th $26$850%20%10th90th$43$0.1$0.2$1.0$5.0$20.0$100.0

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
$26.92 / $26.92 / $26.92
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $28.84 / $47.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $93.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $52.48 / $61.66
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $128.82 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $79.43 / $107.15
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $45.71 / $69.18
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $100.00 / $125.89
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $54.95 / $281.84
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $37.15 / $63.10
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $58.88 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $89.13 / $89.13
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $63.10 / $109.65
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $87.10 / $173.78
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $112.20 / $281.84
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $50.12 / $363.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $41.69 / $56.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $27.54 / $46.77