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Wisconsin rates for HCPCS 20103

Exploration Penetrating Wound Spx Extremity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.29 / $1,142.66 / $7,120.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,314.00 / $2,550.00 / $4,471.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$822.21 / $822.21 / $822.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,486.85 / $1,737.50 / $2,665.37
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.09 / $575.61 / $1,142.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$351.72 / $696.92 / $3,034.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.09 / $575.61 / $1,142.66
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.73 / $1,231.96 / $1,890.90
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,455.33 / $1,455.33 / $1,609.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,367.00 / $3,088.30 / $4,295.00