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Wisconsin rates for HCPCS 24301

Muscle/Tendon Transfer Upper Arm/Elbow Single

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$731.90 / $1,539.92 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,139.00 / $13,743.77 / $21,606.00
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
$1,947.32 / $2,275.60 / $3,490.83
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$731.90 / $1,075.80 / $1,711.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$731.90 / $1,509.13 / $11,598.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$731.90 / $1,075.80 / $1,711.03
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,495.65 / $1,822.39 / $2,720.47
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,213.88 / $7,213.88 / $19,913.50
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,887.52 / $1,887.52 / $1,887.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,240.00 / $9,158.00 / $12,062.00