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Wisconsin rates for HCPCS 24371

Revision of total elbow arthroplasty, including allograft when performed; humeral and ulnar component

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $3,548.13 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,803.84 / $18,197.01 / $29,512.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $5,248.07 / $8,709.64
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $3,548.13 / $10,232.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $3,981.07 / $19,952.62
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $3,801.89 / $5,754.40
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,183.83 / $52,480.75 / $77,624.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,709.64 / $16,982.44 / $22,387.21