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Wisconsin rates for HCPCS 21050

Condylectomy Temporomandibular Joint Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$859.75 / $1,795.36 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$816.05 / $859.75 / $4,113.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $9,948.00 / $15,579.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$868.22 / $1,903.27 / $5,279.21
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,995.29 / $5,995.29 / $5,995.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,282.54 / $2,667.33 / $4,091.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.61 / $3,484.88 / $3,960.09
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$847.93 / $1,215.51 / $1,994.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$859.75 / $1,795.37 / $13,250.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$930.52 / $1,729.85 / $7,988.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.47 / $504.92 / $1,603.82
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$847.93 / $1,203.65 / $1,994.85
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,692.60 / $2,062.37 / $3,078.71
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,994.41 / $5,994.41 / $16,547.20
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,630.42 / $4,303.10 / $7,988.04
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,853.18 / $2,853.18 / $2,853.18
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,629.04 / $4,410.68 / $5,545.94
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
$909.82 / $1,721.62 / $3,915.82