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Wisconsin rates for HCPCS 14000

Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.85 / $1,037.35 / $3,119.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.85 / $554.49 / $1,721.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.00 / $3,496.00 / $5,962.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.94 / $1,245.51 / $2,653.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,686.00 / $1,970.22 / $3,022.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.04 / $907.69 / $1,859.26
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.20 / $757.93 / $1,749.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.86 / $1,166.04 / $4,821.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591.45 / $1,195.28 / $3,731.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.63 / $370.10 / $1,164.81
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.20 / $757.93 / $1,749.06
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,105.92 / $1,522.38 / $2,089.63
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$972.82 / $1,300.16 / $2,366.40
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.99 / $2,390.90 / $4,718.72
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$966.35 / $2,137.71 / $2,720.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,960.00 / $4,155.00 / $5,865.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.03 / $1,004.47 / $2,494.69