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Wisconsin rates for HCPCS 20955

Bone Graft Microvascular Anastomosis Fibula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,389.79 / $4,944.56 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,308.64 / $2,434.33 / $11,327.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,139.00 / $13,906.00 / $22,165.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,391.82 / $5,514.89 / $14,792.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,234.85 / $7,285.91 / $11,176.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,672.77 / $9,619.12 / $10,930.81
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,389.79 / $3,296.37 / $5,281.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,389.79 / $4,444.63 / $13,120.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,753.55 / $4,997.66 / $19,665.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.55 / $1,433.91 / $4,607.19
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,389.79 / $3,127.08 / $5,281.44
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,765.14 / $5,806.15 / $8,667.44
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,559.28 / $25,559.28 / $25,559.28
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,500.35 / $11,848.35 / $19,665.09
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,934.49 / $7,934.49 / $7,934.49
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,138.80 / $12,224.21 / $15,308.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,301.00 / $11,608.00 / $13,980.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,664.12 / $4,739.34 / $10,782.00