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Wisconsin rates for HCPCS 15937

Exc Sac Pr Ulc Prepj Musc/Myoq Flap/Skn Grf Ostc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$861.70 / $1,999.60 / $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
$2,642.08 / $3,087.48 / $4,736.28
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$888.71 / $1,384.60 / $2,877.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$964.49 / $2,666.13 / $5,801.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$888.71 / $1,384.60 / $2,877.57
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,854.20 / $2,377.39 / $3,373.87
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,773.88 / $8,450.26 / $8,450.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,960.00 / $4,155.00 / $5,865.00