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Wisconsin rates for HCPCS 11772

Excision Pilonidal Cyst/Sinus Complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.17 / $2,087.69 / $10,843.72
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
$2,024.82 / $2,366.16 / $3,629.75
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$567.01 / $900.95 / $2,079.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.74 / $1,386.08 / $7,791.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$567.01 / $900.95 / $2,079.12
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,283.57 / $1,802.59 / $2,506.53
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,098.51 / $1,468.15 / $4,070.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,103.00 / $6,477.00 / $8,384.00