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Wisconsin rates for HCPCS 17264

Destruction Malignant Lesion Trunk/Arm/Leg 3.1-4.0cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.76 / $272.48 / $1,894.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.76 / $176.80 / $354.58
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
$179.01 / $392.13 / $809.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557.79 / $651.83 / $999.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.08 / $280.57 / $540.01
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.53 / $244.95 / $570.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.50 / $358.35 / $1,513.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.37 / $393.56 / $976.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.76 / $186.31 / $419.70
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.53 / $244.95 / $570.41
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.88 / $445.18 / $673.96
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.52 / $341.50 / $612.76
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.81 / $645.85 / $1,548.96
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.12 / $560.08 / $898.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,008.00 / $1,423.00 / $2,202.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.20 / $311.57 / $827.43