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Wisconsin rates for HCPCS 17250

Chemical Cauterization Of Granulation Tissue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.67 / $312.42 / $1,894.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.54 / $83.15 / $376.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.00 / $2,479.00 / $4,441.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.69 / $129.87 / $323.70
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$92.43 / $194.80 / $487.92
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.97 / $34.26 / $47.26
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.91 / $85.70 / $103.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.19 / $274.83 / $421.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.88 / $95.95 / $225.89
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.54 / $93.49 / $228.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.71 / $105.03 / $1,513.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.34 / $152.78 / $358.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.91 / $95.42 / $218.92
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.54 / $93.49 / $228.06
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.39 / $147.62 / $274.77
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.29 / $96.61 / $176.16
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.80 / $177.65 / $644.40
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.09 / $159.53 / $375.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,034.00 / $1,423.00 / $2,202.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.67 / $131.80 / $310.18