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Wisconsin rates for HCPCS 23040

Arthrotomy Glenohumeral Jt Expl/Drg/Rmvl Fb

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.00 / $1,473.95 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $8,139.00 / $11,136.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,462.54 / $3,462.54 / $3,462.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,865.32 / $2,179.77 / $3,343.83
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.00 / $982.64 / $1,544.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.00 / $1,438.85 / $11,100.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.00 / $980.00 / $1,544.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,428.70 / $1,740.82 / $2,598.69
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,244.77 / $3,244.77 / $8,957.00
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$849.00 / $849.00 / $849.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,073.00 / $9,882.00 / $12,631.00