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Wisconsin rates for HCPCS 21461

Open Tx Mandibular Fx W/O Interdental Fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,053.97 / $2,148.32 / $8,243.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $9,948.00 / $15,579.70
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,841.11 / $7,841.11 / $7,841.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,975.97 / $5,814.83 / $8,920.10
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$986.53 / $1,801.44 / $3,699.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,040.13 / $2,048.59 / $12,202.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.79 / $1,801.44 / $3,699.66
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,384.96 / $3,688.96 / $5,962.76
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,497.24 / $7,497.24 / $7,949.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,301.00 / $11,608.00 / $13,980.00