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Wisconsin rates for HCPCS 15271

App Skn Sub Grft T/A/L Area/100sq Cm /<1st 25

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.81 / $304.12 / $3,119.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.81 / $129.84 / $310.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,183.00 / $3,483.00 / $5,962.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.84 / $252.44 / $574.77
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.97 / $91.01 / $102.38
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.91 / $153.91 / $189.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.01 / $479.13 / $735.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.04 / $208.80 / $420.74
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.71 / $167.90 / $419.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.95 / $227.91 / $5,169.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.65 / $270.32 / $2,596.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.44 / $159.30 / $366.38
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.71 / $167.90 / $419.76
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.56 / $286.17 / $496.55
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.02 / $213.87 / $389.32
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.30 / $347.40 / $2,873.06
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.63 / $351.45 / $660.37
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
$135.40 / $232.87 / $599.59