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Wisconsin rates for HCPCS 23105

Arthrotomy; glenohumeral joint, with synovectomy, with or without biopsy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.02 / $1,322.37 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,139.00 / $13,743.77 / $21,606.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,560.77 / $7,560.77 / $7,560.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,676.08 / $1,958.64 / $3,004.60
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.02 / $904.51 / $1,469.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.02 / $1,304.96 / $11,598.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.02 / $904.51 / $1,469.30
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,282.45 / $1,562.62 / $2,332.67
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,213.88 / $7,213.88 / $19,913.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,240.00 / $9,837.00 / $12,631.00