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Wisconsin rates for HCPCS 01742

Anesthesia Open/Surg Arthrs Osteotomy Humerus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.00 / $48.00 / $666.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $48.00 / $453.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.00 / $516.00 / $736.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.00 / $338.00 / $575.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.75 / $73.00 / $1,351.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $70.00 / $475.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.28 / $415.38 / $750.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.00 / $630.00 / $1,351.68
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.00 / $492.00 / $492.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.20 / $836.16 / $836.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.75 / $65.09 / $100.48