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Wisconsin rates for HCPCS 21462

Open Tx Mandibular Fx W/Interdental Fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,163.97 / $2,388.04 / $9,245.00
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
$8,262.08 / $8,262.08 / $8,262.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,294.98 / $6,187.60 / $9,491.94
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,093.77 / $1,964.95 / $4,035.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,149.08 / $2,238.17 / $12,202.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,109.60 / $1,964.95 / $4,035.08
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,649.62 / $4,115.89 / $6,509.12
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,611.15 / $7,611.15 / $8,175.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,301.00 / $11,608.00 / $13,980.00