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Wisconsin rates for HCPCS 19316

Mastopexy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$655.58 / $6,350.63 / $8,926.25
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,688.00 / $7,905.77 / $10,786.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,139.00 / $11,783.00 / $19,639.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,035.63 / $2,378.79 / $3,836.91
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$655.58 / $1,032.99 / $2,762.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$772.02 / $2,762.42 / $12,631.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$655.58 / $1,032.99 / $2,762.42
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,563.90 / $2,107.86 / $2,844.61
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,214.55 / $15,214.55 / $15,214.55
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,442.13 / $1,442.13 / $1,442.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,241.00 / $9,837.00 / $12,062.00