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Wisconsin rates for HCPCS 21249

Rcnstj Mandible/Maxl Endosteal Implant Complete

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,095.80 / $1,321.80 / $5,456.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,422.72 / $2,528.78 / $7,156.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,675.80 / $3,926.34 / $6,112.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,555.58 / $3,149.22 / $13,311.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.76 / $803.69 / $2,619.29
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,458.46 / $3,198.10 / $4,753.53
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,329.69 / $5,707.95 / $13,311.20
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,464.22 / $7,104.05 / $8,560.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,509.30 / $2,879.06 / $6,263.59