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Wisconsin rates for HCPCS 01953

Anesthesia for second- and third-degree burn excision or debridement with or without skin grafting, any site, for total body surface area (TBSA) treated during anesthesia and surgery; each additional 9% total body surface area or part thereof (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $47.86 / $223.87
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $69.18 / $107.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $44.67 / $44.67
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $128.82 / $204.17