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Wisconsin rates for HCPCS L6677

Upper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow

Facilitymedian $363 · 10th–90th $324$6610%20%40%10th90th$363Professionalmedian $263 · 10th–90th $158$5500%20%10th90th$263$0.5$2.0$10.0$50.0$200.0$1.0K

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
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Aetna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$181.97
Typical High
$302.00
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$602.56
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$338.84
Typical High
$407.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$831.76
Typical High
$1,778.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$524.81
Typical High
$691.83
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$295.12
Typical High
$446.68
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$346.74
Typical High
$436.52
Medica
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$354.81
Typical High
$1,659.59
Medica
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$229.09
Typical High
$407.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$70.79
Typical High
$91.20
Network Health
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
Network Health
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$407.38
Typical High
$724.44
Quartz
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$549.54
Typical High
$1,000.00
Quartz
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$724.44
Typical High
$1,659.59
Quartz
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$338.84
Typical High
$1,819.70
United
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$239.88
Typical High
$363.08
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$177.83
Typical High
$295.12