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Wisconsin rates for HCPCS 24615

Open Tx Acute/Chronic Elbow Dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$695.79 / $1,467.25 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,878.00 / $14,586.00 / $21,869.00
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
$1,855.41 / $2,168.19 / $3,326.06
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$695.79 / $978.17 / $1,521.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$695.79 / $1,402.04 / $15,090.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$695.79 / $974.11 / $1,521.81
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,423.50 / $1,734.48 / $2,589.23
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,403.52 / $9,403.52 / $25,957.85
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$2,460.44 / $2,460.44 / $2,460.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,627.00 / $12,373.00 / $15,090.00