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Wisconsin rates for HCPCS 11971

Removal of tissue expander without insertion of implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $6,165.95 / $8,709.64
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$954.99 / $954.99 / $954.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $7,943.28 / $12,589.25
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
$457.09 / $1,548.82 / $3,715.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $1,548.82 / $8,317.64
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$7,943.28 / $7,943.28 / $7,943.28
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,230.27 / $1,778.28
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $6,760.83 / $6,760.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $7,413.10 / $9,120.11