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Wisconsin rates for HCPCS L7190

Electronic elbow, adolescent, Variety Village or equal, myoelectronically controlled

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,110.22 / $5,110.22 / $5,110.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,859.53 / $5,110.22 / $8,484.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,130.04 / $11,143.06 / $18,436.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,761.48 / $9,420.95 / $12,459.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,287.54 / $21,678.31 / $21,678.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,553.03 / $20,942.66 / $42,283.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,783.71 / $14,679.84 / $19,171.91
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,920.30 / $7,665.35 / $11,649.56
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,800.23 / $9,412.03 / $12,156.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,055.16 / $10,130.04 / $46,975.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,563.10 / $6,768.63 / $11,030.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $4,830.02
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,920.30 / $7,665.35 / $11,649.56
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,800.23 / $9,412.03 / $12,156.06
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,130.04 / $15,589.82 / $27,142.06
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,553.03 / $19,785.25 / $46,975.22
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,783.71 / $6,553.03 / $59,843.37
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,130.04 / $10,130.04 / $10,130.04
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,130.04 / $10,130.04 / $10,130.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,023.88 / $6,078.03 / $8,981.46