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Wisconsin rates for HCPCS 20969

Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $5,495.41 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,715.19 / $15,135.61 / $26,302.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,918.31 / $8,128.31 / $12,882.50
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $4,365.16 / $6,918.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $5,248.07 / $13,182.57
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.78 / $5,623.41 / $8,511.38
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,918.31 / $27,542.29 / $27,542.29
Quartz
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$4,265.80 / $4,265.80 / $17,378.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $12,302.69 / $16,595.87