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Wisconsin rates for HCPCS 15736

Muscle, myocutaneous, or fasciocutaneous flap; upper extremity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,454.71 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $4,786.30 / $7,585.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $3,630.78 / $5,754.40
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $3,388.44 / $5,754.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $3,235.94 / $5,754.40
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,630.27 / $3,890.45
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $8,317.64 / $8,317.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $3,801.89 / $6,606.93