go back

Wisconsin rates for HCPCS 21010

Arthrotomy Temporomandibular Joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$737.28 / $1,543.93 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.45 / $737.28 / $3,504.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.00 / $4,780.00 / $7,344.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.62 / $1,701.42 / $4,341.14
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,669.32 / $2,669.32 / $2,669.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,951.83 / $2,280.86 / $3,498.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,042.49 / $2,989.64 / $3,397.31
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.19 / $1,032.19 / $1,715.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.19 / $1,521.30 / $8,292.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$791.35 / $1,473.93 / $7,022.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.47 / $432.31 / $1,411.53
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.19 / $1,031.27 / $1,715.48
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,456.65 / $1,774.87 / $2,649.53
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,865.24 / $2,865.24 / $7,909.30
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,398.73 / $3,666.25 / $7,022.15
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,441.30 / $2,441.30 / $2,441.30
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,847.43 / $3,761.76 / $4,757.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,103.00 / $6,477.00 / $8,384.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$791.07 / $1,478.64 / $3,358.29