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Wisconsin rates for HCPCS 12017

Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 20.1 cm to 30.0 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $302.00 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $151.36 / $316.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $3,090.30 / $5,754.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $281.84 / $660.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $436.52 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $354.81 / $512.86
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $446.68 / $4,265.80
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $354.81 / $446.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $512.86 / $1,778.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $302.00 / $812.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $213.80
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $363.08 / $537.03
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,995.26 / $1,995.26
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $331.13 / $2,398.83
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $269.15 / $269.15
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $616.60 / $707.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,548.82 / $1,949.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $257.04 / $602.56