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Wisconsin rates for HCPCS 15958

Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with ostectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $2,344.23 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $7,762.47 / $12,589.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $3,548.13 / $5,623.41
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $3,311.31 / $6,918.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $3,388.44 / $11,481.54
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,570.40 / $3,715.35
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $11,220.18 / $11,220.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,232.93 / $12,589.25