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Wisconsin rates for HCPCS 11970

Replacement of tissue expander with permanent implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $14,454.40 / $19,952.62
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,691.53 / $6,606.93 / $13,803.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,715.19 / $15,135.61 / $26,302.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $1,698.24 / $2,691.53
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $1,621.81 / $5,754.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $1,659.59 / $15,848.93
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,818.38 / $5,128.61 / $7,413.10
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,230.27 / $1,819.70
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,489.63 / $19,952.62 / $19,952.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $12,302.69 / $16,595.87