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Wisconsin rates for HCPCS 21554

Exc Tumor Soft Tissue Neck/Thorax Subfasc 5 Cm/>

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$701.50 / $2,629.52 / $17,823.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,344.00 / $10,517.23
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,971.90 / $2,971.90 / $2,971.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,859.91 / $2,173.44 / $3,334.13
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$701.50 / $969.32 / $1,550.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$701.50 / $1,475.42 / $8,103.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$701.50 / $969.32 / $1,550.32
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.60 / $1,761.41 / $2,629.44
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,469.60 / $2,469.60 / $6,817.20
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$646.16 / $646.16 / $646.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.00 / $6,477.00 / $8,384.00