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Wisconsin rates for HCPCS 23540

Clsd Tx Acromioclavicular Dislc W/O Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.26 / $506.75 / $1,894.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$178.70 / $180.95 / $682.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.33 / $246.60 / $957.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.00 / $2,479.00 / $4,441.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.42 / $541.27 / $1,372.76
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.44 / $319.44 / $319.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$656.02 / $766.61 / $1,175.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.60 / $725.41 / $1,127.93
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.22 / $282.29 / $511.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.22 / $356.08 / $1,449.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.72 / $510.41 / $1,833.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.53 / $182.42 / $484.25
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.77 / $282.29 / $511.49
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.10 / $603.35 / $882.18
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.92 / $264.92 / $1,447.20
Quartz
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$793.71 / $793.71 / $793.71
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.44 / $1,106.75 / $1,833.36
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.94 / $1,566.61 / $1,579.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,034.00 / $1,423.00 / $2,202.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.82 / $444.76 / $1,011.83