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Wisconsin rates for HCPCS 21050

Condylectomy, temporomandibular joint (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,778.28 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $870.96 / $2,398.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,964.78 / $18,197.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,698.24 / $4,677.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $2,691.53 / $4,466.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $3,548.13 / $4,073.80
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,778.28 / $5,495.41
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $2,089.30 / $2,691.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,905.46 / $15,135.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,548.82 / $7,943.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,905.46 / $2,884.03
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,025.60 / $11,220.18 / $16,595.87
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $4,265.80 / $7,943.28
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $2,884.03 / $2,884.03
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $4,897.79 / $5,495.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $12,302.69 / $16,218.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,288.25 / $3,630.78