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Wisconsin rates for HCPCS 21184

Rcnstj Orbit/Fhd/Nasethmd Exc Bone Tum Grf>80sq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,383.46 / $4,986.52 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,292.40 / $2,453.05 / $11,443.80
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
$2,393.82 / $5,409.89 / $14,747.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,271.80 / $7,329.09 / $11,243.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,606.94 / $9,663.53 / $10,981.29
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,383.46 / $3,493.57 / $5,540.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,383.46 / $4,885.88 / $13,120.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,656.03 / $4,952.39 / $23,227.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.55 / $1,474.65 / $4,691.76
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,383.46 / $3,453.80 / $5,540.58
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,840.55 / $5,898.02 / $8,804.59
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,939.04 / $22,939.04 / $22,939.04
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,521.13 / $11,970.50 / $23,227.73
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,909.93 / $7,909.93 / $7,909.93
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,721.80 / $12,172.70 / $15,378.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,266.00 / $11,608.00 / $13,980.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,539.73 / $4,656.80 / $10,893.16