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Wisconsin rates for HCPCS 15630

Delay of flap or sectioning of flap (division and inset); at eyelids, nose, ears, or lips

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $954.99 / $21,877.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $426.58 / $912.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $4,786.30 / $7,585.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $891.25 / $1,949.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,445.44 / $2,344.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $776.25 / $1,258.93
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $891.25 / $4,897.79
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $933.25 / $1,380.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $891.25 / $5,128.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $794.33 / $3,019.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,023.29
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $1,000.00 / $1,548.82
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $5,623.41 / $5,623.41
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $616.60 / $3,388.44
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,479.11 / $1,995.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $3,801.89 / $6,606.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $616.60 / $1,548.82