go back

Wisconsin rates for HCPCS 24101

Arthrt Elbow W/Jt Expl W/Wobx W/O Rmvl Loose/Fb

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.23 / $1,048.82 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $8,139.00 / $11,136.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,462.54 / $3,462.54 / $3,462.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,330.05 / $1,554.27 / $2,384.29
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.23 / $715.27 / $1,165.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.23 / $1,037.63 / $11,100.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.23 / $715.27 / $1,165.34
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,012.70 / $1,233.94 / $1,842.02
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,244.77 / $3,244.77 / $8,957.00
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$849.00 / $849.00 / $849.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,240.00 / $9,158.00 / $12,062.00