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Wisconsin rates for HCPCS 20922

Fascia lata graft; by incision and area exposure, complex or sheet

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $1,000.00 / $6,456.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $4,570.88 / $7,079.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $1,862.09 / $3,019.95
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $776.25 / $4,677.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $831.76 / $7,244.36
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,513.56 / $2,187.76
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $3,801.89 / $5,623.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $7,413.10 / $9,120.11