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Wisconsin rates for HCPCS 15260

Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.29 / $2,079.07 / $4,539.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.29 / $915.03 / $2,948.54
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
$976.94 / $2,100.55 / $4,376.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,663.71 / $3,112.76 / $4,775.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$834.96 / $1,582.66 / $2,744.06
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.21 / $1,253.29 / $2,754.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$846.81 / $1,848.06 / $5,169.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$963.16 / $1,956.90 / $6,304.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.48 / $570.42 / $1,746.10
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.21 / $1,253.29 / $2,754.84
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,756.97 / $2,394.21 / $3,325.30
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,645.99 / $2,199.85 / $5,952.36
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$986.11 / $4,106.39 / $7,470.40
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,786.97 / $3,559.52 / $4,309.22
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
$924.03 / $1,520.29 / $3,874.20