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Wisconsin rates for HCPCS 23174

Sequestrectomy (eg, for osteomyelitis or bone abscess), humeral head to surgical neck

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,584.89 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $776.25 / $2,041.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,317.64 / $13,182.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,548.82 / $3,981.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $2,344.23 / $3,715.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $3,090.30 / $3,548.13
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,548.82 / $3,981.07
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,819.70 / $2,344.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,621.81 / $11,481.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,380.38 / $7,244.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,737.80 / $2,630.27
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,489.63 / $19,952.62 / $19,952.62
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $3,630.78 / $7,244.36
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $2,454.71
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $4,168.69 / $4,897.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,232.93 / $14,454.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,122.02 / $3,090.30