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Wisconsin rates for HCPCS 12007

Simple Repair Scalp/Neck/Ax/Genit/Trunk >30.0cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.83 / $283.77 / $3,119.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.00 / $2,479.00 / $4,441.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$601.04 / $702.37 / $1,077.46
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.38 / $266.58 / $615.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.34 / $381.99 / $1,513.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.38 / $266.58 / $615.17
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.36 / $486.78 / $744.28
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$266.11 / $355.66 / $994.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,034.00 / $1,423.00 / $2,202.90