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Wisconsin rates for HCPCS 21433

Open Tx Craniofacial Sep Complicated Mlt Appr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,673.71 / $3,507.46 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,607.77 / $1,725.99 / $7,999.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $10,800.00 / $18,360.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,672.59 / $3,862.40 / $10,346.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,414.59 / $5,158.79 / $7,913.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,496.28 / $6,791.10 / $7,717.16
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,673.71 / $2,400.71 / $3,698.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,673.71 / $3,036.00 / $13,120.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,856.92 / $3,363.88 / $12,714.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.95 / $1,021.23 / $3,257.05
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,673.71 / $2,343.19 / $3,698.90
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,401.45 / $4,144.54 / $6,186.98
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,103.52 / $16,103.52 / $16,103.52
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,177.25 / $8,367.70 / $12,714.80
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,549.55 / $5,549.55 / $5,549.55
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,126.42 / $8,539.77 / $10,807.63
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
$1,822.84 / $3,246.67 / $7,472.69