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Wisconsin rates for HCPCS 11770

Excision Pilonidal Cyst/Sinus Simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.71 / $707.45 / $12,076.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,344.00 / $10,517.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$940.77 / $1,099.35 / $1,686.45
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.86 / $377.30 / $937.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.88 / $495.72 / $7,318.09
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.86 / $377.30 / $937.98
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.13 / $635.94 / $1,128.32
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.94 / $465.02 / $1,299.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.00 / $6,477.00 / $8,384.00