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Wisconsin rates for HCPCS 21031

Excision Torus Mandibularis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.10 / $382.89 / $1,415.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.54 / $623.98 / $1,635.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.02 / $1,009.58 / $1,771.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.32 / $855.29 / $2,857.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.59 / $218.92 / $698.83
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$619.91 / $885.45 / $1,290.58
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.51 / $1,640.79 / $2,857.44
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$969.82 / $1,761.02 / $2,480.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.33 / $772.62 / $1,735.29