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Wisconsin rates for HCPCS 24931

Amputation Arm Thru Humerus W/Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.06 / $1,895.08 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.65 / $937.21 / $4,238.18
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
$889.08 / $1,909.64 / $5,288.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,389.77 / $2,792.64 / $4,283.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,351.29 / $3,670.32 / $4,170.81
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.06 / $1,210.23 / $1,906.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.06 / $1,512.36 / $14,246.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.25 / $1,782.17 / $6,870.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.47 / $557.31 / $1,759.73
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.06 / $1,207.50 / $1,906.01
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,846.65 / $2,250.07 / $3,358.91
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,638.26 / $7,638.26 / $7,638.26
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,717.17 / $4,433.25 / $6,870.88
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,973.77 / $2,973.77 / $2,973.77
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,634.27 / $4,572.85 / $5,841.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,154.00 / $11,891.00 / $15,090.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.25 / $1,652.21 / $3,901.26