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Wisconsin rates for HCPCS 23410

Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; acute

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $13,182.57 / $20,892.96
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
$2,137.96 / $2,454.71 / $4,168.69
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,659.59 / $6,918.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,778.28 / $15,135.61
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,819.70 / $2,754.23
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $13,489.63 / $19,952.62
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,348.96 / $1,348.96 / $1,995.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $12,302.69 / $16,595.87