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Wisconsin rates for HCPCS 11771

Excision of pilonidal cyst or sinus; extensive

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$368.94 / $1,269.81 / $8,821.79
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
$1,649.95 / $1,928.10 / $2,957.75
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$441.64 / $733.67 / $1,693.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$484.81 / $1,156.08 / $7,318.09
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$441.64 / $733.67 / $1,693.08
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,010.76 / $1,453.76 / $2,042.44
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$852.46 / $1,139.31 / $3,161.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,614.00 / $6,477.00 / $8,384.00