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Wisconsin rates for HCPCS 20910

Cartilage Graft Costochondral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$465.09 / $988.07 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.80 / $484.52 / $1,866.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,314.00 / $3,163.00 / $5,768.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.96 / $1,062.34 / $2,848.61
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$685.35 / $685.35 / $685.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,256.16 / $1,467.92 / $2,251.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.29 / $1,844.40 / $2,172.63
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$462.32 / $592.96 / $988.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$465.09 / $750.69 / $1,778.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.21 / $951.42 / $3,552.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.42 / $221.50 / $950.10
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$462.32 / $585.95 / $988.07
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.85 / $1,163.45 / $1,736.80
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$674.55 / $674.55 / $3,956.82
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$894.50 / $2,239.40 / $3,552.32
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,527.91 / $1,527.91 / $1,527.91
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.08 / $2,337.56 / $3,042.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,034.00 / $1,423.00 / $2,202.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.21 / $913.68 / $2,037.85