go back

Wisconsin rates for HCPCS 15958

Exc Trchntric Pr Ulc Musc/Myoq Flap/Skin W/Ostc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$976.24 / $2,356.48 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,979.00 / $6,787.00 / $10,517.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,007.04 / $3,513.96 / $5,390.51
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.33 / $1,585.53 / $3,338.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,086.88 / $3,141.99 / $11,598.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.33 / $1,585.53 / $3,338.82
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,196.83 / $2,816.70 / $3,997.31
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,529.08 / $11,102.00 / $11,102.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,073.00 / $9,837.00 / $12,062.00