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Wisconsin rates for HCPCS 21602

Excision Ch Wal Tum W/Rib W/O Medstnl Lymphadec

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,457.96 / $3,061.64 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,712.00 / $12,916.00 / $21,224.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,836.97 / $4,483.80 / $6,878.27
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,457.96 / $1,992.08 / $3,222.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,457.96 / $3,003.51 / $15,090.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,457.96 / $1,932.83 / $3,222.09
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,508.84 / $3,664.76 / $5,276.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,474.40 / $19,474.40 / $19,474.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,627.00 / $12,373.00 / $15,090.00