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Wisconsin rates for HCPCS 13101

Repair Complex Trunk 2.6-7.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.72 / $812.54 / $6,461.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.99 / $369.62 / $1,684.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.00 / $2,479.00 / $4,441.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.14 / $746.93 / $1,545.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.45 / $225.23 / $310.27
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.13 / $397.24 / $484.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,065.11 / $1,244.68 / $1,909.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.25 / $628.14 / $1,168.68
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.03 / $462.25 / $1,063.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.11 / $666.15 / $1,590.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.91 / $763.36 / $1,917.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.98 / $282.77 / $754.06
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.03 / $462.25 / $1,063.10
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.87 / $831.91 / $1,275.44
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$475.24 / $635.15 / $1,151.83
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.13 / $1,210.80 / $2,948.08
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.89 / $1,050.32 / $1,710.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,008.00 / $1,423.00 / $2,202.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.39 / $594.67 / $1,517.61