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Wisconsin rates for HCPCS 15736

Musc Myocutaneous/Fasciocutaneous Flap Uxtr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,003.89 / $2,464.71 / $14,482.00
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
$3,120.58 / $3,646.64 / $5,594.04
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,116.52 / $1,644.79 / $3,482.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.55 / $3,242.00 / $5,801.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,116.52 / $1,644.79 / $3,482.52
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,295.44 / $2,943.14 / $4,176.74
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,773.88 / $5,567.80 / $5,567.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,976.00 / $4,155.00 / $5,865.00