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Wisconsin rates for HCPCS 21616

Excision first and/or cervical rib; with sympathectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $1,380.38 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $741.31 / $1,949.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,128.31 / $13,182.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,380.38 / $3,467.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $2,041.74 / $3,235.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $2,754.23 / $3,162.28
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,479.11 / $5,754.40
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,621.81 / $2,089.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,479.11 / $15,135.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,318.26 / $7,943.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,584.89 / $2,398.83
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $5,623.41 / $5,623.41
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $3,388.44 / $7,943.28
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,187.76 / $2,187.76
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $4,168.69 / $4,265.80
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
$741.31 / $1,174.90 / $2,884.03