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Wisconsin rates for HCPCS 23630

Optx Greater Humeral Tuberosity Fx W/Int Fixj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$760.03 / $8,466.00 / $17,823.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,878.00 / $14,586.00 / $21,869.00
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
$2,032.93 / $2,375.64 / $3,644.29
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$760.03 / $955.50 / $1,785.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$760.03 / $1,566.00 / $15,090.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$760.03 / $955.50 / $1,785.73
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,558.70 / $1,899.22 / $2,835.16
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,351.84 / $9,351.84 / $25,815.20
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$2,446.92 / $2,446.92 / $2,446.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,627.00 / $12,373.00 / $15,090.00