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Wisconsin rates for HCPCS 13131

Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 1.1 cm to 2.5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $380.19 / $812.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $363.08 / $1,122.02
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
$371.54 / $691.83 / $1,513.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,202.26 / $1,949.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $630.96 / $1,047.13
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $660.69 / $3,715.35
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $707.95 / $1,148.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $660.69 / $1,698.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $676.08 / $1,778.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $794.33
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $707.95 / $1,258.93
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $2,187.76 / $2,187.76
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $575.44 / $2,754.23
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $1,023.29 / $1,659.59
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
$263.03 / $478.63 / $1,288.25