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Wisconsin rates for HCPCS 23100

Arthrotomy Glenohumeral Joint W/Biopsy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$497.17 / $1,053.65 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.41 / $519.86 / $2,294.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,344.00 / $10,517.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.22 / $1,147.31 / $3,039.17
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
$1,336.36 / $1,561.64 / $2,395.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.31 / $2,038.80 / $2,316.81
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$497.17 / $702.44 / $1,098.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$497.17 / $998.44 / $8,296.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.48 / $1,012.00 / $3,792.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.84 / $296.25 / $946.75
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$497.17 / $696.04 / $1,098.75
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,019.20 / $1,241.85 / $1,853.85
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,244.77 / $3,244.77 / $8,957.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$953.86 / $2,399.80 / $3,792.88
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,635.46 / $1,635.46 / $1,635.46
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,604.07 / $2,502.94 / $3,244.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.00 / $6,477.00 / $8,384.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.96 / $979.12 / $2,183.82