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Wisconsin rates for HCPCS 24587

Optx Priarticular Fx&/Dislc Elbw W/Implt Arthr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,050.02 / $2,210.67 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,008.89 / $1,092.81 / $4,947.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,878.00 / $15,141.00 / $22,609.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,036.24 / $2,423.13 / $6,456.31
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,125.22 / $22,125.22 / $22,125.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,789.87 / $3,260.18 / $5,001.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,581.50 / $4,285.63 / $4,870.04
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,050.02 / $1,561.08 / $2,456.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,050.02 / $2,196.69 / $15,090.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,188.69 / $2,093.16 / $8,025.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.64 / $641.93 / $2,057.86
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,050.02 / $1,561.08 / $2,456.30
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,153.44 / $2,623.90 / $3,916.96
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,448.73 / $18,448.73 / $50,926.60
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,005.06 / $5,175.70 / $8,025.36
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,474.29 / $3,474.29 / $3,474.29
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,126.42 / $5,337.83 / $6,820.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,627.00 / $12,373.00 / $15,090.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,141.33 / $2,075.16 / $4,966.91