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Wisconsin rates for HCPCS 20101

Exploration Penetrating Wound Spx Chest

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.68 / $575.34 / $2,014.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.68 / $575.34 / $1,266.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.00 / $4,780.00 / $7,344.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.13 / $857.48 / $2,448.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,531.90 / $1,790.15 / $2,746.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.60 / $913.35 / $2,547.08
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.68 / $459.60 / $1,133.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.80 / $579.16 / $4,377.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.51 / $1,029.65 / $4,557.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.53 / $446.42 / $1,183.23
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.68 / $459.60 / $1,133.84
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.79 / $836.69 / $1,797.95
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,049.94 / $1,049.94 / $1,049.94
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.71 / $2,415.83 / $4,557.05
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.03 / $662.03 / $1,978.31
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.41 / $1,279.10 / $3,652.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,723.00 / $3,912.00 / $5,865.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.79 / $915.24 / $2,082.17