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Wisconsin rates for HCPCS 11042

Debridement Subcutaneous Tissue 1st 20 Sq Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.89 / $406.00 / $3,119.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.93 / $109.82 / $503.26
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
$86.96 / $195.96 / $483.00
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$145.22 / $307.60 / $727.38
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.99 / $55.11 / $77.02
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.57 / $130.43 / $158.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.63 / $408.58 / $626.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.34 / $147.03 / $355.85
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.14 / $142.28 / $352.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.13 / $170.46 / $1,590.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.02 / $202.81 / $629.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.53 / $126.96 / $290.37
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.14 / $142.28 / $352.38
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.91 / $224.92 / $418.66
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.28 / $155.41 / $282.72
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.93 / $295.39 / $963.44
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.22 / $256.76 / $559.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,008.00 / $1,423.00 / $2,202.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.49 / $189.06 / $453.93