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Wisconsin rates for HCPCS 0479T

Fractional Abl Lsr Fenestration First 100 Sqcm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.45 / $178.45 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.45 / $184.47 / $374.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.00 / $2,479.00 / $4,441.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.33 / $596.07 / $1,302.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.41 / $570.74 / $875.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.05 / $291.08 / $431.50
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.68 / $298.38 / $769.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.45 / $623.91 / $4,195.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.68 / $431.50 / $1,349.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $55.00 / $566.67
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.68 / $298.38 / $769.56
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.97 / $561.51 / $800.80
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,262.80 / $1,862.05 / $1,862.05
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.24 / $1,582.30 / $2,051.52
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.52 / $333.52 / $333.52
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$789.91 / $789.91 / $789.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,257.00 / $3,088.30 / $4,295.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.33 / $494.86 / $1,313.31