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Wisconsin rates for HCPCS 20910

Cartilage graft; costochondral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $977.24 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $478.63 / $1,202.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $3,235.94 / $6,025.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $912.01 / $2,290.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,479.11 / $2,344.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $1,949.84 / $2,238.72
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $891.25 / $5,495.41
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,148.15 / $1,479.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $954.99 / $1,778.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $831.76 / $3,548.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,096.48 / $1,698.24
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,258.93 / $3,890.45
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $2,238.72 / $3,467.37
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,513.56 / $1,513.56
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $2,630.27 / $3,019.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,584.89 / $2,187.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $691.83 / $1,905.46