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Wisconsin rates for HCPCS L6684

Upper Extremity Addition Test Socket Shoulder Disarticulation Or Interscapular Thoracic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.39 / $281.39 / $281.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.28 / $281.39 / $467.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557.82 / $613.60 / $1,015.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.45 / $518.77 / $686.11
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$401.30 / $1,193.73 / $1,193.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.86 / $1,152.90 / $2,328.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.43 / $808.13 / $1,055.73
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.75 / $422.10 / $641.49
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.39 / $557.82 / $669.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.25 / $557.82 / $2,281.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.23 / $314.48 / $607.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $231.98
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.75 / $422.10 / $641.49
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.39 / $557.82 / $669.38
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.82 / $836.73 / $1,252.61
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.86 / $1,089.50 / $2,281.13
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.43 / $360.86 / $3,091.23
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.82 / $557.82 / $557.82
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.82 / $557.82 / $557.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.53 / $299.44 / $521.80