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Wisconsin rates for HCPCS 24930

Amputation, arm through humerus; re-amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,584.89 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $776.25 / $1,949.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,128.31 / $13,489.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,548.82 / $3,715.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $2,344.23 / $3,715.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $3,162.28 / $3,548.13
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,513.56 / $10,000.00
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,862.09 / $2,398.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,584.89 / $15,135.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,380.38 / $5,754.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,737.80 / $2,630.27
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $6,309.57 / $6,309.57
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $3,715.35 / $5,623.41
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $2,454.71
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $4,265.80 / $4,897.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $13,803.84 / $17,782.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,148.15 / $3,162.28