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Wisconsin rates for HCPCS 20665

Removal Tongs/Halo Applied By Another Individual

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.36 / $208.44 / $1,894.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.00 / $2,479.00 / $4,441.52
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.11 / $494.11 / $494.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.19 / $370.67 / $568.61
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.64 / $133.44 / $248.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.79 / $151.00 / $1,449.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.64 / $130.43 / $248.93
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.60 / $285.91 / $409.95
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.03 / $435.03 / $693.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.32 / $1,370.00 / $2,202.90