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Wisconsin rates for HCPCS 21348

Optx Nasomax Cplx Fx Left Ii Type W/Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,073.45 / $2,237.54 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,073.45 / $1,101.61 / $5,664.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $10,800.00 / $18,360.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,042.65 / $2,477.19 / $6,906.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,835.82 / $3,313.89 / $5,083.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,665.31 / $4,364.89 / $4,960.10
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,073.45 / $1,590.83 / $2,419.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,073.45 / $2,173.96 / $13,120.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,241.21 / $2,288.62 / $10,299.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.64 / $666.24 / $2,102.72
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,073.45 / $1,516.18 / $2,419.37
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,143.69 / $2,612.02 / $3,899.23
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,271.36 / $10,271.36 / $10,271.36
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,042.15 / $5,212.55 / $10,299.59
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,548.59 / $3,548.59 / $3,548.59
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,334.42 / $5,828.29 / $6,946.50
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
$1,241.21 / $2,283.10 / $5,116.38