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Wisconsin rates for HCPCS 19112

Excision Lactiferous Duct Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.16 / $918.70 / $6,461.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.16 / $385.49 / $1,061.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,344.00 / $10,517.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.21 / $996.08 / $1,999.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,213.81 / $1,418.43 / $2,287.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.62 / $926.64 / $1,544.78
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.52 / $449.14 / $688.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.69 / $628.94 / $8,384.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.79 / $1,240.98 / $2,376.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.56 / $288.00 / $905.55
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.52 / $449.14 / $688.26
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.64 / $1,053.76 / $1,535.66
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,519.04 / $1,519.04 / $1,519.04
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.59 / $1,929.56 / $3,385.28
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.88 / $586.88 / $863.33
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.55 / $1,356.00 / $1,952.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.00 / $6,477.00 / $8,384.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.79 / $1,106.80 / $1,819.82