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Wisconsin rates for HCPCS 23900

Interthoracoscapular amputation (forequarter)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $2,818.38 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,412.54 / $3,715.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,128.31 / $13,489.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $2,754.23 / $6,760.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $4,073.80 / $6,606.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $5,495.41 / $6,309.57
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $2,818.38 / $10,000.00
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $3,235.94 / $4,168.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $2,818.38 / $15,135.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $2,454.71 / $10,232.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $3,019.95 / $4,570.88
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $25,118.86 / $25,118.86
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $6,606.93 / $10,000.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,365.16 / $4,365.16 / $4,365.16
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.89 / $7,585.78 / $8,709.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $13,803.84 / $17,782.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $2,041.74 / $5,623.41