go back

Wisconsin rates for HCPCS L6935

Below Elbow External Power Self-Suspended Inner Socket Removable Forearm Shell Otto Bock Or Equal Electrodes Cables Two Batteries And One Charger Myoelectronic Control Of Terminal Device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,424.49 / $5,424.49 / $5,424.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,561.59 / $5,424.49 / $9,204.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,753.02 / $11,828.32 / $19,570.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,000.31 / $10,000.31 / $13,226.21
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,735.70 / $23,011.46 / $23,011.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,503.37 / $22,230.65 / $44,884.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,477.46 / $15,582.66 / $20,350.93
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,034.15 / $8,136.74 / $12,365.97
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,156.92 / $9,673.45 / $12,903.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,252.23 / $10,753.02 / $48,813.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,843.72 / $7,079.68 / $11,708.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $6,951.02
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,034.15 / $8,136.74 / $12,365.97
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,156.92 / $9,673.45 / $12,903.62
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,753.02 / $16,548.54 / $28,199.96
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,503.37 / $21,002.00 / $48,813.24
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,477.46 / $7,503.37 / $54,698.83
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,753.02 / $10,753.02 / $10,753.02
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,624.36 / $10,753.02 / $10,753.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,916.55 / $6,451.81 / $9,533.79