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Wisconsin rates for HCPCS 19342

Insj/Rplcmt Breast Implant Sep Day Mastectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$632.71 / $6,461.00 / $24,387.26
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,164.82 / $6,461.00 / $18,305.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,878.00 / $15,141.00 / $22,609.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,967.15 / $2,298.76 / $3,707.83
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$632.71 / $1,142.10 / $2,884.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$761.55 / $2,884.47 / $16,779.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$632.71 / $1,142.10 / $2,884.47
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,504.75 / $2,323.57 / $2,737.02
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,005.20 / $18,005.20 / $18,005.20
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,706.64 / $1,706.64 / $1,706.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,984.00 / $12,373.00 / $15,090.00