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Wisconsin rates for HCPCS 15620

Delay Flap/Sectioning Flap F/C/C/N/Ax/G/H/F

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.45 / $678.80 / $8,243.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.00 / $4,780.00 / $7,344.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,201.19 / $1,403.69 / $2,153.29
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.12 / $534.26 / $1,232.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$344.88 / $821.94 / $4,821.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.12 / $534.26 / $1,232.91
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.13 / $1,041.26 / $1,460.43
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$636.57 / $850.77 / $2,311.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,976.00 / $4,155.00 / $5,865.00