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Wisconsin rates for HCPCS 24802

Arthrodesis Elbow Joint W/Autogenous Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$969.00 / $2,042.62 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$930.32 / $1,010.00 / $4,558.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,287.00 / $15,141.00 / $22,609.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$955.34 / $2,236.16 / $5,956.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,551.22 / $14,551.22 / $14,551.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,577.19 / $3,011.67 / $4,619.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,458.22 / $3,956.05 / $4,495.51
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$969.00 / $1,427.85 / $2,141.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$969.00 / $2,008.66 / $15,090.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,093.85 / $1,925.79 / $7,402.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.47 / $591.07 / $1,882.18
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$969.00 / $1,404.38 / $2,141.48
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,989.00 / $2,423.52 / $3,617.84
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,629.66 / $13,629.66 / $37,623.85
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,850.86 / $4,768.00 / $7,402.16
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,205.36 / $3,205.36 / $3,205.36
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,842.20 / $4,923.29 / $6,295.84
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
$1,090.36 / $1,945.34 / $4,338.88