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Wisconsin rates for HCPCS 19318

Breast reduction

Facilitymedian $13,183 · 10th–90th $6,457–$23,4420%10%10th90th$13,183Professionalmedian $2,455 · 10th–90th $1,288–$3,4670%10%20%10th90th$2,455$50.0$200.0$1.0K$5.0K$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
$41.69 / $8,317.64 / $23,442.29
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$8,317.64 / $14,125.38 / $29,512.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,772.37 / $13,182.57 / $21,877.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,818.38 / $3,235.94 / $5,248.07
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,096.48 / $4,786.30 / $8,912.51
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,174.90 / $8,317.64 / $15,848.93
Medica
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$13,803.84 / $16,218.10 / $21,877.62
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,187.76 / $9,332.54 / $15,848.93
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,288.25 / $2,454.71 / $3,467.37
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
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $12,022.64 / $16,218.10