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Wisconsin rates for HCPCS 01634

Anesthesia Arthroscopic Shoulder Disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.00 / $48.00 / $1,110.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $48.00 / $756.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.00 / $860.00 / $1,228.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.00 / $608.40 / $1,035.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.75 / $73.00 / $2,252.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $70.00 / $855.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.79 / $692.30 / $1,250.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.00 / $1,050.00 / $2,252.80
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.00 / $820.00 / $820.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.00 / $1,393.60 / $1,393.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.00 / $69.00 / $101.49