go back

Wisconsin rates for HCPCS 15005

Prep Site F/S/N/H/F/G/M/D Gt Addl 100 Sq Cm/1pct

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.39 / $176.18 / $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
$296.47 / $346.45 / $531.46
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.15 / $134.80 / $311.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.96 / $229.58 / $1,590.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$40.57 / $40.57 / $40.57
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.15 / $134.80 / $311.07
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.96 / $274.49 / $378.63
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.21 / $220.81 / $405.71
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$16.52 / $22.08 / $40.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,008.00 / $1,423.00 / $2,202.90