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Wisconsin rates for HCPCS 21339

Open Tx Nasoethmoid Fx W/External Fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$754.12 / $1,567.89 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$754.12 / $779.11 / $3,436.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,479.00 / $9,096.00 / $15,579.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$725.05 / $1,740.27 / $4,788.66
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
$2,010.40 / $2,349.31 / $3,603.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,182.72 / $3,053.25 / $3,469.60
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$754.12 / $1,015.07 / $1,666.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$754.12 / $1,464.71 / $8,384.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$842.95 / $1,580.61 / $5,642.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.47 / $449.19 / $1,448.14
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$754.12 / $944.20 / $1,666.61
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,491.10 / $1,816.85 / $2,712.20
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,994.41 / $5,994.41 / $16,547.20
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,428.48 / $3,594.50 / $5,642.56
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,504.02 / $2,504.02 / $2,504.02
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,336.50 / $4,247.16 / $4,859.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,103.00 / $6,477.00 / $8,384.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.86 / $1,574.39 / $3,449.50