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Wisconsin rates for HCPCS 21137

Reduction Forehead Contouring Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.34 / $1,537.45 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.62 / $757.06 / $3,456.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.00 / $4,780.00 / $7,344.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.28 / $1,676.82 / $4,496.28
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,669.32 / $2,669.32 / $2,669.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,941.91 / $2,269.28 / $3,481.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,095.72 / $2,974.20 / $3,379.78
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.34 / $1,022.48 / $1,708.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.34 / $1,515.73 / $8,292.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.33 / $1,453.29 / $6,723.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.47 / $432.10 / $1,392.88
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.34 / $1,012.59 / $1,708.28
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,485.25 / $1,809.72 / $2,701.56
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,865.24 / $2,865.24 / $7,909.30
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,391.50 / $3,615.15 / $6,723.29
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,411.69 / $2,411.69 / $2,411.69
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,261.52 / $3,701.88 / $4,733.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.00 / $6,477.00 / $8,384.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$784.95 / $1,402.68 / $3,289.79