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Wisconsin rates for HCPCS 15750

Flap; neurovascular pedicle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$765.15 / $1,892.27 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,344.00 / $10,517.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,397.88 / $2,802.11 / $4,298.51
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$841.01 / $1,233.11 / $2,677.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$895.23 / $2,523.03 / $11,598.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$841.01 / $1,233.11 / $2,677.80
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,764.95 / $2,262.96 / $3,211.48
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,529.08 / $11,102.00 / $11,102.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,241.00 / $9,837.00 / $12,062.00