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Wisconsin rates for HCPCS 21010

Arthrotomy, temporomandibular joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,548.82 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $741.31 / $2,041.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $4,786.30 / $7,585.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,548.82 / $3,715.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $2,290.87 / $3,630.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $3,019.95 / $3,467.37
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,548.82 / $3,981.07
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,778.28 / $2,344.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,548.82 / $8,317.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,318.26 / $7,079.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,621.81 / $2,454.71
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $5,370.32 / $7,943.28
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $3,630.78 / $7,079.46
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $2,454.71
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $4,168.69 / $4,786.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $7,413.10 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,122.02 / $3,090.30