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Wisconsin rates for HCPCS 21408

Open Tx Fx Orbit Except Blowout W/Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$876.62 / $1,838.77 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.63 / $904.89 / $4,153.39
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
$867.10 / $2,022.96 / $5,158.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,323.09 / $2,714.71 / $4,164.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,312.95 / $3,562.04 / $4,047.78
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$876.62 / $1,234.30 / $1,937.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$876.62 / $1,807.52 / $13,250.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$955.80 / $1,746.51 / $7,152.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.47 / $531.52 / $1,708.10
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$876.62 / $1,234.30 / $1,937.33
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,777.75 / $2,166.12 / $3,233.59
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,960.05 / $13,960.05 / $13,960.05
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,666.52 / $4,344.55 / $7,152.58
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,900.87 / $2,900.87 / $2,900.87
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,617.69 / $4,449.89 / $5,668.77
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
$944.46 / $1,805.52 / $3,953.54