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Wisconsin rates for HCPCS L6703

Terminal device, passive hand/mitt, any material, any size

Facilitymedian $427 · 10th–90th $380–$7760%50%10th90th$427Professionalmedian $316 · 10th–90th $195–$6460%20%10th90th$316$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $213.80 / $346.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $426.58 / $707.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $398.11 / $478.63
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $1,000.00 / $2,137.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $616.60 / $812.83
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $346.74 / $537.03
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $602.56 / $758.58
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $426.58 / $2,041.74
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $281.84 / $478.63
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $70.79 / $234.42
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $676.08 / $676.08
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $489.78 / $851.14
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $645.65 / $1,230.27
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $851.14 / $2,041.74
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $398.11 / $2,511.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $295.12 / $426.58
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $208.93 / $354.81