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Wisconsin rates for HCPCS 11952

Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $204.17 / $537.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $125.89 / $257.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $3,090.30 / $5,754.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $269.15 / $562.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $446.68 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $239.88 / $426.58
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $263.03 / $3,311.31
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $269.15 / $426.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $263.03 / $1,659.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $234.42 / $741.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $288.40 / $512.86
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $1,288.25 / $1,288.25
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $181.97 / $1,047.13
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $186.21 / $263.03
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $426.58 / $616.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,584.89 / $2,137.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $181.97 / $467.74