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Wisconsin rates for HCPCS 21182

Rcnstj Orbit/Fhd/Nasethmd Excbone Tum Grf<40sqcm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,038.80 / $4,267.37 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,959.82 / $2,099.73 / $9,766.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $10,800.00 / $18,360.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,038.39 / $4,704.91 / $12,609.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,368.87 / $6,273.95 / $9,624.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,034.47 / $8,267.37 / $9,394.74
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,038.80 / $2,923.99 / $4,741.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,038.80 / $4,183.84 / $13,120.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,247.44 / $4,106.68 / $19,923.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.21 / $1,247.86 / $4,001.68
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,038.80 / $2,923.99 / $4,741.53
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,141.14 / $5,045.83 / $7,532.43
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,616.08 / $19,616.08 / $19,616.08
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,867.94 / $10,215.65 / $19,923.77
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,763.56 / $6,763.56 / $6,763.56
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,968.62 / $10,401.98 / $13,157.00
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
$2,226.37 / $3,960.92 / $9,289.40