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Wisconsin rates for HCPCS 21620

Ostectomy Sternum Partial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.95 / $1,006.81 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,979.00 / $7,467.00 / $15,287.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,271.48 / $1,485.83 / $2,279.29
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.95 / $715.95 / $1,148.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.95 / $987.99 / $13,120.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.95 / $705.80 / $1,148.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$990.60 / $1,207.01 / $1,801.83
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,097.59 / $4,097.59 / $4,097.59
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$230.71 / $230.71 / $230.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,301.00 / $11,608.00 / $13,980.00