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Wisconsin rates for HCPCS L6688

Upper Extremity Addition Frame Type Socket Above Elbow Or Elbow Disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.52 / $386.52 / $386.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.66 / $386.52 / $641.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$766.21 / $842.83 / $1,394.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.58 / $712.58 / $942.43
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$551.21 / $1,639.69 / $1,639.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$528.47 / $1,584.42 / $3,198.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.78 / $1,110.47 / $1,450.11
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.78 / $579.78 / $881.14
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.70 / $758.56 / $919.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.48 / $766.21 / $3,410.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.62 / $477.82 / $834.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $398.37
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.78 / $579.78 / $881.14
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.70 / $758.56 / $919.45
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.21 / $1,179.17 / $1,903.02
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$528.47 / $1,496.50 / $3,410.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.78 / $528.47 / $4,196.41
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.21 / $766.21 / $766.21
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.21 / $766.21 / $766.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.25 / $419.17 / $741.79