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Wisconsin rates for HCPCS 23395

Muscle Transfer Shoulder/Upper Arm Single

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,237.41 / $4,655.68 / $18,687.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,287.00 / $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
$3,295.40 / $3,850.93 / $5,907.43
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,237.41 / $1,754.81 / $2,734.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,237.41 / $2,496.19 / $13,250.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,237.41 / $1,741.53 / $2,734.68
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,540.19 / $3,095.14 / $4,620.43
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,248.53 / $9,248.53 / $25,530.00
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$2,419.88 / $2,419.88 / $2,419.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,301.00 / $11,608.00 / $13,980.00