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Wisconsin rates for HCPCS 21365

Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including zygomatic arch and malar tripod; with internal fixation and multiple surgical approaches

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $2,238.72 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,964.78 / $18,197.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $3,235.94 / $5,495.41
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $2,187.76 / $6,918.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $2,238.72 / $15,135.61
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,290.87 / $3,467.37
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,025.60 / $11,220.18 / $16,595.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $12,302.69 / $16,218.10