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Wisconsin rates for HCPCS 21355

Percutaneous Tx Malar Area Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.06 / $681.03 / $6,461.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.06 / $446.26 / $1,688.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.00 / $4,780.00 / $10,038.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.09 / $748.34 / $1,984.45
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,669.32 / $2,669.32 / $2,669.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,203.00 / $1,405.80 / $2,156.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.65 / $1,161.92 / $2,069.21
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.06 / $487.59 / $924.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.67 / $527.69 / $11,733.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.83 / $951.38 / $3,354.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.95 / $342.60 / $948.81
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.06 / $484.29 / $924.97
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.67 / $1,043.57 / $1,521.04
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,335.32 / $2,335.32 / $2,865.24
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.04 / $1,916.82 / $3,354.72
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,067.86 / $1,067.86 / $1,468.25
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,315.31 / $2,113.32 / $2,897.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,266.00 / $11,608.00 / $13,980.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.83 / $907.78 / $1,850.87