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Wisconsin rates for HCPCS 14040

Adjt Tis Trns/Reargmt F/C/C/M/N/A/G/H/F 10sqcm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.07 / $1,579.68 / $4,864.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.79 / $745.64 / $3,001.00
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
$733.83 / $1,555.73 / $3,314.04
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$569.66 / $574.54 / $791.21
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$702.08 / $772.29 / $955.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,024.82 / $2,366.16 / $3,629.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.67 / $1,205.13 / $2,083.08
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.87 / $954.31 / $2,106.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$642.83 / $1,404.16 / $4,821.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.83 / $1,462.76 / $4,647.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.88 / $437.90 / $1,383.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.87 / $954.31 / $2,106.23
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,337.92 / $1,815.82 / $2,532.19
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,212.30 / $1,620.23 / $4,392.78
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.19 / $3,018.15 / $5,675.84
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,353.88 / $2,666.10 / $3,273.75
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
$703.85 / $1,138.71 / $2,908.34