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Wisconsin rates for HCPCS 15650

Transfer Any Pedicle Flap Any Location

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.71 / $833.38 / $9,245.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.71 / $456.76 / $1,102.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.00 / $4,780.00 / $7,344.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.03 / $1,041.83 / $2,093.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,442.69 / $1,685.90 / $2,586.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.21 / $767.54 / $1,480.13
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$396.88 / $646.10 / $1,480.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.16 / $945.49 / $4,821.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.38 / $972.75 / $2,990.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.53 / $321.05 / $1,025.90
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$396.88 / $646.10 / $1,480.68
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$845.57 / $1,265.70 / $1,775.23
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$781.52 / $1,044.50 / $1,899.28
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.08 / $1,831.30 / $4,012.32
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.89 / $700.89 / $953.14
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.26 / $1,715.92 / $2,319.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,976.00 / $4,523.30 / $6,031.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.50 / $788.51 / $2,030.22