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Wisconsin rates for HCPCS 21310

Closed Treatment Nasal Fracture W/O Manipulation

Insurance Carrier
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.44 / $319.44 / $319.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.54 / $409.63 / $628.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.27 / $131.30 / $614.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.00 / $687.43 / $687.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $70.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.60 / $214.60 / $214.60
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.06 / $638.00 / $687.43