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Wisconsin rates for HCPCS 21603

Excision of chest wall tumor involving rib(s), with plastic reconstruction; with mediastinal lymphadenectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $3,311.31 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,698.24 / $3,388.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $13,803.84 / $21,877.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $3,311.31 / $8,511.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $4,897.79 / $7,762.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $6,606.93 / $7,413.10
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $3,715.35 / $7,413.10
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $3,890.45 / $4,677.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $3,715.35 / $15,135.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $3,019.95 / $12,022.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $3,981.07 / $5,754.40
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $4,168.69 / $24,547.09
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $8,317.64 / $11,748.98
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,370.32 / $5,370.32 / $5,370.32
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,165.95 / $10,232.93 / $11,748.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $13,803.84 / $17,782.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,630.27 / $6,918.31