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Wisconsin rates for HCPCS 21470

Optx Comp Mandibular Fx Mlt Appr W/Int Fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.23 / $2,399.76 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $9,948.00 / $15,579.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,035.87 / $3,547.66 / $5,442.20
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.23 / $1,616.57 / $2,666.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.23 / $2,360.40 / $13,250.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.23 / $1,599.84 / $2,666.40
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,288.65 / $2,788.63 / $4,162.88
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,431.84 / $19,431.84 / $19,431.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,301.00 / $11,608.00 / $13,980.00