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Wisconsin rates for HCPCS 23397

Muscle Transfer Shoulder/Upper Arm Multiple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,097.92 / $2,307.65 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,055.29 / $1,168.78 / $5,193.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,878.00 / $14,586.00 / $21,869.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,082.39 / $2,533.66 / $7,048.88
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
$2,917.83 / $3,409.71 / $5,230.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,663.63 / $4,484.84 / $5,096.41
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,025.61 / $1,434.93 / $2,426.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,091.57 / $2,266.14 / $13,250.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,250.13 / $2,197.13 / $8,602.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.64 / $671.43 / $2,132.31
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,025.61 / $1,434.93 / $2,426.40
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,248.35 / $2,739.53 / $4,089.58
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,213.88 / $7,213.88 / $19,913.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,098.25 / $5,432.50 / $8,602.26
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,627.15 / $3,627.15 / $3,627.15
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,961.12 / $5,555.50 / $7,137.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,266.00 / $11,608.00 / $16,437.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,250.13 / $2,151.46 / $4,943.58