go back

Wisconsin rates for HCPCS 24655

Closed treatment of radial head or neck fracture; with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $512.86 / $3,162.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $4,570.88 / $7,079.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,445.44 / $2,290.87
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $616.60 / $3,162.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $630.96 / $1,737.80
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,258.93 / $1,737.80
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $3,235.94 / $4,786.30
Quartz
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$2,238.72 / $2,238.72 / $3,311.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,584.89 / $2,187.76