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Wisconsin rates for HCPCS 24345

Repair Medial Collateral Ligament Elbow

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$695.52 / $1,559.50 / $15,478.12
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
$1,867.12 / $2,181.88 / $3,347.06
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$695.52 / $973.73 / $1,479.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$695.52 / $1,404.57 / $11,598.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$695.52 / $958.71 / $1,479.51
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,421.55 / $1,732.10 / $2,585.69
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,213.88 / $7,213.88 / $19,913.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,241.00 / $9,837.00 / $12,062.00