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Wisconsin rates for HCPCS 20102

Expl Penetrating Wound Spx Abdomen/Flank/Back

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.62 / $600.20 / $10,715.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.00 / $4,780.00 / $7,344.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,626.52 / $1,900.72 / $2,915.75
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.62 / $531.77 / $1,157.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.19 / $600.59 / $4,377.80
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.62 / $531.77 / $1,157.65
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.33 / $977.89 / $1,928.85
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,485.20 / $1,485.20 / $1,485.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,960.00 / $4,155.00 / $5,865.00