go back

Wisconsin rates for HCPCS 21356

Open Tx Depressed Zygomatic Arch Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.02 / $830.32 / $6,461.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.02 / $538.65 / $1,986.57
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
$471.02 / $911.58 / $2,372.76
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
$1,453.51 / $1,698.54 / $2,605.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.62 / $1,464.20 / $2,494.31
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$406.69 / $637.17 / $1,126.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.07 / $750.90 / $7,160.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.91 / $1,105.51 / $4,044.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.53 / $449.64 / $1,184.27
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.02 / $633.09 / $1,126.34
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.65 / $1,274.96 / $1,858.30
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,848.62 / $2,848.62 / $5,994.41
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.65 / $2,310.62 / $4,044.32
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,304.75 / $1,304.75 / $1,780.06
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.46 / $2,563.42 / $3,493.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.00 / $6,477.00 / $8,384.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.91 / $982.59 / $2,191.55