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Wisconsin rates for HCPCS 24930

Amputation Arm Thru Humerus Re-Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.43 / $1,583.46 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$719.74 / $783.00 / $3,523.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $8,006.00 / $18,294.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.13 / $1,731.76 / $4,410.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,999.59 / $2,336.67 / $3,584.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,130.85 / $3,066.46 / $3,484.61
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.43 / $1,050.59 / $1,635.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.43 / $1,242.78 / $14,246.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$811.36 / $1,513.14 / $5,732.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.47 / $462.45 / $1,484.86
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.43 / $1,031.98 / $1,635.13
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,540.50 / $1,877.04 / $2,802.05
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,374.76 / $6,374.76 / $6,374.76
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,434.67 / $3,685.45 / $5,732.88
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,480.21 / $2,480.21 / $2,480.21
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,278.99 / $3,809.45 / $4,880.14
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
$810.80 / $1,489.49 / $3,353.76