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Wisconsin rates for HCPCS 20920

Fascia Lata Graft By Stripper

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$394.77 / $829.13 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.33 / $401.36 / $1,803.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.00 / $3,496.00 / $5,962.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.31 / $911.01 / $2,416.77
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,198.35 / $2,198.35 / $2,198.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,056.10 / $1,234.15 / $1,893.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.04 / $1,614.31 / $1,834.44
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$368.50 / $494.98 / $849.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.58 / $792.28 / $5,261.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.18 / $764.44 / $2,999.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.75 / $306.80 / $829.85
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$368.50 / $471.68 / $849.49
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$791.70 / $964.66 / $1,440.04
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,015.89 / $2,015.89 / $5,564.75
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$755.26 / $1,886.10 / $2,999.60
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,296.28 / $1,296.28 / $1,296.28
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.49 / $1,961.46 / $2,569.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,723.00 / $3,912.00 / $5,865.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.18 / $764.44 / $1,716.35