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Wisconsin rates for HCPCS 24666

Open Tx Radial Head/Neck Fracture Prosthetic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.59 / $1,509.14 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,878.00 / $15,141.00 / $22,609.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,604.56 / $22,604.56 / $22,604.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,908.57 / $2,230.32 / $3,421.36
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.59 / $1,000.43 / $1,558.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.59 / $1,442.07 / $15,090.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.59 / $981.86 / $1,558.76
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,462.50 / $1,782.00 / $2,660.18
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,385.54 / $20,385.54 / $56,273.05
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$5,333.89 / $5,333.89 / $5,333.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,154.00 / $11,891.00 / $15,090.00