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Wisconsin rates for HCPCS 21270

Malar Augmentation Prosthetic Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.77 / $1,527.57 / $9,245.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$725.77 / $995.62 / $3,960.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $9,948.00 / $15,579.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.42 / $1,674.86 / $4,454.46
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
$2,679.03 / $3,130.66 / $4,802.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,187.58 / $2,851.47 / $4,618.55
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.77 / $1,164.88 / $2,085.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$760.28 / $1,421.83 / $12,202.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,043.82 / $2,240.28 / $7,518.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.42 / $604.03 / $1,935.79
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$728.24 / $1,164.88 / $2,085.87
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,668.60 / $2,383.32 / $3,473.78
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,242.26 / $5,242.26 / $8,171.78
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,541.21 / $4,278.42 / $7,518.16
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,397.05 / $2,397.05 / $3,279.43
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,408.62 / $4,699.70 / $6,468.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,301.00 / $11,608.00 / $13,980.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,005.63 / $1,991.18 / $4,441.12