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Wisconsin rates for HCPCS 19316

Mastopexy

Facilitymedian $11,220 · 10th–90th $2,884–$19,9530%10%10th90th$11,220Professionalmedian $1,862 · 10th–90th $955–$2,5700%10%20%10th90th$1,862$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $5,754.40 / $8,912.51
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$2,691.53 / $7,943.28 / $10,715.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,549.93 / $12,882.50 / $21,877.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,398.83 / $3,801.89
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $4,168.69 / $7,413.10
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $7,079.46 / $13,803.84
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $8,511.38 / $9,120.11
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $1,862.09 / $2,570.40
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,232.93 / $15,135.61 / $15,135.61
Quartz
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$1,023.29 / $1,023.29 / $1,513.56
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,445.44 / $1,445.44 / $1,445.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $10,232.93 / $13,182.57