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Wisconsin rates for HCPCS 21247

Reconstruction of mandibular condyle with bone and cartilage autografts (includes obtaining grafts) (eg, for hemifacial microsomia)

Facilitymedian $10,000 · 10th–90th $3,631$16,9820%5%10%10th90th$10,000Professionalmedian $2,344 · 10th–90th $1,445$6,9180%10%20%10th90th$2,344$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,548.82 / $3,235.94 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,412.54 / $1,584.89 / $3,981.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $10,964.78 / $18,197.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $3,235.94 / $7,943.28
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,168.69 / $4,786.30 / $7,762.47
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $6,456.54 / $7,413.10
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,548.82 / $3,311.31 / $7,244.36
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,818.38 / $3,801.89 / $4,897.79
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $3,311.31 / $13,489.63
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $2,951.21 / $12,882.50
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,162.28 / $9,332.54 / $15,848.93
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,949.84 / $3,890.45 / $6,760.83
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,238.72 / $3,388.44 / $5,011.87
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $14,454.40 / $14,454.40
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,818.38 / $7,762.47 / $12,882.50
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,248.07 / $5,248.07 / $5,248.07
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,912.51 / $10,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $12,022.64 / $15,848.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $2,454.71 / $6,456.54