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Wisconsin rates for HCPCS 24370

Revis Elbow Arthrplsty Humeral/Ulna Compnt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.85 / $3,113.46 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,423.85 / $1,535.11 / $7,037.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,080.00 / $16,493.00 / $23,358.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,480.15 / $3,415.03 / $9,105.91
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,184.28 / $21,184.28 / $21,184.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,913.56 / $4,573.31 / $7,015.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,317.92 / $6,025.36 / $6,847.00
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.85 / $2,046.20 / $3,270.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.85 / $3,113.46 / $19,562.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,755.85 / $2,982.96 / $11,296.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.60 / $934.77 / $2,994.31
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.85 / $2,046.20 / $3,270.47
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,029.00 / $3,690.72 / $5,509.52
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,499.30 / $18,499.30 / $51,066.20
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,734.42 / $7,361.05 / $11,296.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,900.10 / $4,900.10 / $4,900.10
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,251.12 / $9,588.95 / $9,588.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,452.00 / $17,119.00 / $22,372.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,726.83 / $3,268.72 / $6,698.56