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Wisconsin rates for HCPCS 23552

Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,348.96 / $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
$1,698.24 / $1,995.26 / $3,311.31
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $1,348.96 / $6,456.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $1,380.38 / $15,135.61
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,479.11 / $2,238.72
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $17,782.79 / $26,302.68
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,778.28 / $1,778.28 / $2,630.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $13,803.84 / $17,782.79