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Wisconsin rates for HCPCS L8415

Prosthetic sheath, upper limb, each

Facilitymedian $26 · 10th–90th $23$480%50%10th90th$26Professionalmedian $21 · 10th–90th $12$400%20%10th90th$21$0.0$0.1$0.5$2.0$10.0$50.0

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
$12.02 / $12.02 / $12.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $12.88 / $22.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $43.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $24.55 / $28.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $60.26 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $37.15 / $50.12
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $22.91 / $32.36
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $33.88 / $42.66
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $25.70 / $134.90
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $16.98 / $30.90
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $58.88 / $70.79
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $29.51 / $51.29
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $40.74 / $81.28
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $52.48 / $138.04
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $23.99 / $162.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $19.50 / $26.30
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $13.49 / $21.88