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Wisconsin rates for HCPCS 24650

Closed Tx Radial Head/Neck Fx W/O Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.99 / $533.50 / $1,894.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$185.99 / $200.30 / $766.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.64 / $290.62 / $1,227.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.00 / $2,479.00 / $4,441.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.73 / $572.29 / $1,435.27
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.44 / $319.44 / $319.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$733.51 / $857.17 / $1,314.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.81 / $915.32 / $1,256.46
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.11 / $312.47 / $590.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.11 / $374.40 / $1,449.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.47 / $577.27 / $2,035.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.95 / $184.63 / $563.93
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.11 / $312.47 / $590.22
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.60 / $668.45 / $958.45
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.92 / $264.92 / $1,207.11
Quartz
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$833.97 / $833.97 / $833.97
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.79 / $1,163.93 / $2,035.92
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$773.40 / $1,636.12 / $1,759.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$790.92 / $1,297.00 / $2,202.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.02 / $500.90 / $1,144.36