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Wisconsin rates for HCPCS 11101

Surgery-Intergumentary System

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.09 / $94.77 / $145.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.10 / $70.68 / $165.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $90.00 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.00 / $227.67 / $227.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $55.00 / $70.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.00 / $65.00 / $1,646.16
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.02 / $153.00 / $227.67