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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
$630.96 / $1,318.26 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,715.19 / $15,135.61 / $26,302.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $1,949.84 / $3,090.30
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $1,318.26 / $6,456.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $1,380.38 / $11,481.54
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,445.44 / $2,187.76
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,489.63 / $19,952.62 / $19,952.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,232.93 / $14,454.40