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Wisconsin rates for HCPCS 15756

Free Muscle/Myocutaneous Flap W/Mvasc Anast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,894.56 / $4,610.50 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,979.00 / $7,467.00 / $11,852.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,819.43 / $6,800.47 / $10,432.09
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,984.64 / $3,093.99 / $6,523.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,084.02 / $5,080.00 / $8,384.00
Medica
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$6,477.24 / $6,477.24 / $6,477.24
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,984.64 / $3,093.99 / $6,523.65
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,272.59 / $5,478.17 / $7,774.32
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,197.97 / $15,913.20 / $15,913.20
Quartz
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$2,623.74 / $6,477.24 / $6,477.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.00 / $6,477.00 / $8,384.00