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Wisconsin rates for HCPCS L6885

Replacement Socket Shoulder Disarticulation/Interscapular Thoracic Molded To Patient Model For Use With Or Without External Power

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,571.40 / $2,571.40 / $2,571.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,761.29 / $2,571.40 / $4,269.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,097.31 / $5,607.04 / $9,277.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,587.57 / $4,740.50 / $6,269.69
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,667.00 / $10,908.24 / $10,908.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,297.39 / $11,254.62 / $21,276.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,407.09 / $7,504.75 / $9,647.08
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,231.29 / $3,857.10 / $5,861.91
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,918.60 / $5,097.31 / $6,116.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,131.40 / $5,086.62 / $19,929.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,030.70 / $2,873.64 / $5,550.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,231.29 / $3,857.10 / $5,861.91
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,918.60 / $5,097.31 / $6,116.77
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,097.31 / $7,645.97 / $11,444.19
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,297.39 / $9,955.70 / $19,929.31
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,407.09 / $3,297.39 / $30,066.71
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,097.31 / $5,097.31 / $5,097.31
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,097.31 / $5,097.31 / $5,097.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,116.77 / $6,116.77 / $6,116.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,723.80 / $2,870.12 / $4,371.74