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Wisconsin rates for HCPCS 24102

Arthrotomy Elbow W/Synovectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$603.00 / $1,276.76 / $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
$1,616.61 / $1,889.14 / $2,897.98
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$603.00 / $872.91 / $1,418.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$603.00 / $1,259.85 / $11,100.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$603.00 / $872.91 / $1,418.63
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,235.00 / $1,504.80 / $2,246.37
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,244.77 / $3,244.77 / $8,957.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,073.00 / $9,882.00 / $12,631.00