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Wisconsin rates for HCPCS 11970

Replacement of tissue expander with permanent implant

Facilitymedian $13,804 · 10th–90th $3,548–$21,3800%10%10th90th$13,804Professionalmedian $1,230 · 10th–90th $891–$1,7780%10%20%10th90th$1,230$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $14,454.40 / $19,952.62
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$2,691.53 / $6,606.93 / $13,803.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,715.19 / $15,135.61 / $26,302.68
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,445.44 / $1,698.24 / $2,691.53
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $1,621.81 / $5,754.40
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $1,819.70 / $15,848.93
Medica
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$2,818.38 / $5,128.61 / $7,413.10
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,230.27 / $9,332.54 / $15,848.93
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $1,230.27 / $1,778.28
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,489.63 / $19,952.62 / $19,952.62
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,023.29 / $1,023.29
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $12,022.64 / $16,218.10