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Wisconsin rates for HCPCS 20912

Cartilage Graft Nasal Septum

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$474.36 / $995.51 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,344.00 / $10,517.23
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,925.80 / $3,925.80 / $3,925.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,268.78 / $1,482.67 / $2,274.44
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.91 / $640.71 / $1,106.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$474.36 / $943.17 / $11,100.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.91 / $640.71 / $1,106.13
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$952.90 / $1,161.07 / $1,733.25
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,021.81 / $4,021.81 / $11,102.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,241.00 / $9,837.00 / $12,062.00