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Wisconsin rates for HCPCS 21208

Osteoplasty Facial Bones Augmentation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$729.03 / $1,645.55 / $4,029.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.91 / $1,697.08 / $4,877.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,205.17 / $2,993.22 / $7,541.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,696.63 / $3,751.27 / $12,126.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $936.16 / $3,024.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,713.02 / $3,156.40 / $5,459.12
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,756.58 / $6,123.31 / $12,126.80
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,309.11 / $4,738.35 / $10,561.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,671.11 / $3,600.14 / $7,585.90