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Wisconsin rates for HCPCS 21615

Excision 1st &/Cervical Rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.54 / $1,226.16 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $8,006.00 / $18,294.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,531.00 / $1,789.10 / $2,744.52
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.54 / $871.94 / $1,504.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$583.57 / $1,209.51 / $14,246.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.54 / $833.88 / $1,504.66
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,221.34 / $1,488.17 / $2,221.54
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,020.82 / $5,020.82 / $5,020.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,154.00 / $11,891.00 / $15,090.00