go back

Wisconsin rates for HCPCS 15003

Prep Site Trunk/Arm/Leg Addl 100 Sq Cm/1pct

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.15 / $87.39 / $1,894.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.00 / $1,183.00 / $1,530.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.42 / $208.50 / $319.83
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.08 / $78.64 / $184.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.61 / $117.06 / $1,590.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$20.13 / $20.13 / $20.13
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.08 / $78.64 / $184.32
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.32 / $149.52 / $226.60
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.95 / $109.53 / $201.33
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$8.19 / $10.95 / $20.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,008.00 / $1,423.00 / $2,202.90