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Wisconsin rates for HCPCS 23921

Disrtcj Shoulder Secondary Clsr/Scar Revision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$462.29 / $980.55 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.94 / $482.40 / $2,138.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.00 / $3,496.00 / $5,962.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.72 / $1,066.83 / $2,703.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,198.35 / $2,198.35 / $2,198.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,245.34 / $1,455.29 / $2,232.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.65 / $1,898.62 / $2,157.53
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.80 / $592.63 / $980.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.80 / $892.42 / $5,261.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.57 / $899.35 / $3,532.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.84 / $292.35 / $937.90
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.80 / $587.58 / $980.55
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$947.70 / $1,154.74 / $1,723.79
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,015.89 / $2,015.89 / $5,564.75
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.28 / $2,237.19 / $3,532.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,520.16 / $1,520.16 / $1,520.16
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$923.72 / $2,330.21 / $3,021.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,960.00 / $4,523.30 / $6,031.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.61 / $941.35 / $2,049.28