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Wisconsin rates for HCPCS 21310

Closed treatment of nasal bone fracture without manipulation

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $407.38 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $134.90 / $630.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $691.83 / $691.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $58.88 / $70.79
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $1,995.26 / $1,995.26
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $691.83 / $691.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,982.44 / $17,782.79 / $19,498.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $46.77 / $208.93