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Wisconsin rates for HCPCS 15111

Epidrm Agrft T/A/L Ea 100 Cm/Ea 1% Bdy Inft/Chld

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.73 / $198.63 / $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
$282.05 / $329.60 / $505.61
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.70 / $138.74 / $324.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.43 / $219.60 / $1,590.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.70 / $138.74 / $324.30
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.35 / $281.00 / $377.30
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.27 / $248.95 / $461.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,034.00 / $1,423.00 / $2,202.90