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Wisconsin rates for HCPCS 21235

Graft Ear Crtlg Autogenous Nose/Ear

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$561.53 / $1,182.89 / $13,367.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.83 / $729.60 / $2,601.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,479.00 / $9,096.00 / $15,579.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$684.35 / $1,295.83 / $3,624.71
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,995.29 / $5,995.29 / $5,995.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,968.95 / $2,300.87 / $3,529.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$842.00 / $2,163.35 / $3,388.04
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$564.98 / $853.63 / $1,518.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$577.13 / $1,094.40 / $4,377.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.52 / $1,609.03 / $5,495.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.47 / $447.06 / $1,455.82
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$566.58 / $853.63 / $1,518.24
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,263.45 / $1,751.92 / $2,496.85
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,039.98 / $4,039.98 / $5,994.41
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,199.94 / $3,138.53 / $5,495.44
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,879.01 / $3,659.05 / $4,744.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,723.00 / $3,912.00 / $5,865.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$773.91 / $1,406.18 / $3,189.73