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Wisconsin rates for HCPCS 21208

Osteoplasty, facial bones; augmentation (autograft, allograft, or prosthetic implant)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,548.82 / $2,951.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,698.24 / $4,570.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $3,019.95 / $7,244.36
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $2,818.38 / $4,466.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $3,630.78 / $12,022.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,122.02
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $2,630.27 / $5,495.41
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $8,317.64 / $11,748.98
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $4,786.30 / $10,471.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,995.26 / $5,888.44