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Wisconsin rates for HCPCS 21244

Reconstruction of mandible, extraoral, with transosteal bone plate (eg, mandibular staple bone plate)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,089.30 / $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
$2,630.27 / $3,090.30 / $5,128.61
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,089.30 / $9,772.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,238.72 / $15,135.61
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $2,137.96 / $3,235.94
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,511.38 / $15,848.93 / $23,442.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $12,302.69 / $16,218.10