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Wisconsin rates for HCPCS 21031

Excision of torus mandibularis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $363.08 / $812.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $562.34 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $1,047.13 / $1,819.70
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $741.31 / $1,071.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $776.25 / $2,884.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $380.19
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $831.76 / $1,288.25
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $1,905.46 / $2,754.23
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,778.28 / $2,454.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $537.03 / $1,412.54