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Wisconsin rates for HCPCS 15935

Exc Sacral Pr Ulcer W/Skn Flap Clsr W/Ostectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.95 / $2,358.25 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$960.95 / $1,006.95 / $3,721.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,344.00 / $10,517.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.10 / $2,423.17 / $5,118.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,982.71 / $3,485.53 / $5,346.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,131.50 / $2,272.57 / $3,324.16
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,048.10 / $1,465.95 / $3,307.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,124.31 / $3,144.33 / $11,598.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,051.42 / $1,784.73 / $4,996.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.50 / $679.27 / $2,064.01
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,048.10 / $1,465.95 / $3,307.41
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,186.85 / $2,803.90 / $3,979.14
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,529.08 / $11,102.00 / $11,102.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,324.97 / $4,808.34 / $8,517.52
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,114.82 / $2,114.82 / $2,114.82
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,983.38 / $3,815.54 / $4,864.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,241.00 / $9,837.00 / $12,062.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,032.25 / $1,779.25 / $4,581.14