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Wisconsin rates for HCPCS 15787

Abrasion; each additional 4 lesions or less (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $25.12 / $57.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $53.70 / $131.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $43.65 / $91.20
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $52.48 / $89.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $79.43 / $194.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $50.12 / $104.71
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $44.67 / $302.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $91.20 / $131.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $45.71 / $138.04