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Wisconsin rates for HCPCS 21243

Arthrp Tmprmand Joint W/Prosthetic Replacement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,662.45 / $3,354.17 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,582.30 / $1,662.45 / $7,665.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,466.00 / $15,738.00 / $23,778.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,633.78 / $3,836.42 / $9,820.36
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,189.18 / $33,189.18 / $33,189.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,403.77 / $5,146.16 / $7,894.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,298.46 / $6,742.29 / $7,661.69
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,620.95 / $2,287.29 / $3,726.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,644.10 / $3,302.01 / $13,250.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,783.30 / $3,326.86 / $16,304.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.60 / $981.73 / $3,054.30
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,620.95 / $2,236.11 / $3,726.85
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,166.15 / $3,857.83 / $5,758.98
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,601.00 / $28,601.00 / $78,951.35
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,154.42 / $8,018.65 / $16,304.65
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,267.38 / $5,267.38 / $5,267.38
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,998.45 / $8,217.95 / $10,729.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,217.00 / $11,799.00 / $16,373.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,771.76 / $3,326.86 / $7,296.97