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Wisconsin rates for HCPCS 23107

Arthrotomy, glenohumeral joint, with joint exploration, with or without removal of loose or foreign body

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $1,380.38 / $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
$1,737.80 / $2,041.74 / $3,235.94
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $1,318.26 / $6,456.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,380.38 / $11,481.54
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,513.56 / $2,290.87
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