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Wisconsin rates for HCPCS 19330

Rmvl Ruptured Breast Implant W/Implant Contents

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.09 / $1,319.33 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $8,139.00 / $11,136.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,665.27 / $1,946.00 / $3,138.83
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.09 / $750.55 / $1,598.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$586.37 / $1,598.51 / $11,598.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.09 / $750.55 / $1,598.51
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,277.25 / $1,742.34 / $2,323.21
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,723.79 / $8,723.79 / $8,723.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,241.00 / $9,837.00 / $12,062.00