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Wisconsin rates for HCPCS 21230

Graft; rib cartilage, autogenous, to face, chin, nose or ear (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,513.56 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,964.78 / $18,197.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $2,238.72 / $3,801.89
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,513.56 / $9,772.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,698.24 / $15,135.61
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,584.89 / $2,398.83
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,025.60 / $11,220.18 / $16,595.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $12,302.69 / $16,218.10