go back

Wisconsin rates for HCPCS 24565

Cltx Humeral Epicondylar Fx Medial/Lat W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.19 / $1,042.96 / $3,119.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.19 / $548.70 / $2,164.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,183.00 / $3,483.00 / $5,962.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.62 / $1,131.20 / $2,859.01
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,942.50 / $1,942.50 / $1,942.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,461.62 / $1,708.01 / $2,620.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.18 / $1,624.25 / $2,520.59
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.54 / $611.23 / $1,142.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.54 / $735.29 / $1,513.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.60 / $1,179.18 / $4,109.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.84 / $331.22 / $1,106.06
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.54 / $611.23 / $1,142.10
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,102.40 / $1,343.23 / $1,925.98
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,722.47 / $1,722.47 / $2,384.16
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,006.63 / $2,346.19 / $4,109.04
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,607.81 / $1,607.81 / $1,766.61
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,554.25 / $3,209.23 / $3,530.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,034.00 / $1,423.00 / $2,202.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.60 / $1,022.57 / $2,337.61