go back

Wisconsin rates for HCPCS 21406

Open Tx Fx Orbit Except Blowout W/O Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$570.07 / $1,200.58 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.74 / $589.73 / $2,665.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $9,948.00 / $15,579.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.47 / $1,315.54 / $3,349.70
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
$1,521.99 / $1,778.57 / $2,728.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$849.51 / $2,324.21 / $2,641.16
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$570.07 / $806.72 / $1,482.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$570.07 / $1,186.85 / $13,250.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.14 / $1,120.72 / $5,007.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.47 / $335.37 / $1,077.80
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$570.07 / $806.72 / $1,482.18
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,157.00 / $1,409.76 / $2,104.48
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
$1,087.39 / $2,787.85 / $5,007.80
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,883.73 / $1,883.73 / $1,883.73
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,853.88 / $2,881.46 / $3,698.82
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
$593.88 / $1,105.72 / $2,536.94