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Wisconsin rates for HCPCS 21360

Open Tx Depressed Malar Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$518.13 / $1,087.42 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.15 / $526.04 / $2,355.06
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
$492.26 / $1,195.69 / $3,163.06
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
$1,385.92 / $1,619.56 / $2,484.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$753.58 / $2,118.90 / $2,407.84
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$518.13 / $777.20 / $1,280.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$518.13 / $1,087.43 / $8,384.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.01 / $1,093.88 / $4,864.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.66 / $316.93 / $996.31
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$518.13 / $777.20 / $1,280.58
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,038.05 / $1,264.82 / $1,888.13
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
$991.34 / $2,463.44 / $4,864.16
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,702.12 / $1,702.12 / $1,702.12
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,758.73 / $2,644.37 / $3,372.10
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
$541.96 / $1,060.54 / $2,241.73