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Wisconsin rates for HCPCS 11971

Removal Tissue Expander W/O Insertion Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.03 / $2,027.26 / $14,482.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$947.00 / $947.00 / $947.00
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
$1,440.89 / $1,683.80 / $2,582.98
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.15 / $647.10 / $1,566.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$465.37 / $1,495.92 / $8,103.00
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$7,932.54 / $7,932.54 / $7,932.54
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.15 / $647.10 / $1,566.36
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.27 / $1,329.92 / $1,895.40
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,623.24 / $6,817.20 / $6,817.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,614.00 / $6,477.00 / $8,384.00