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Wisconsin rates for HCPCS 12016

Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $251.19 / $3,090.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $3,090.30 / $5,754.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $660.69 / $1,047.13
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $338.84 / $3,715.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $371.54 / $1,659.59
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $426.58 / $891.25
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,995.26 / $1,995.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,548.82 / $1,949.84