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Wisconsin rates for HCPCS 21627

Sternal Debridement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.40 / $1,107.38 / $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
$1,401.24 / $1,637.46 / $2,511.91
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.40 / $761.73 / $1,360.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.40 / $1,090.91 / $14,246.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.40 / $761.73 / $1,360.84
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,083.55 / $1,320.26 / $1,970.89
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,039.01 / $7,039.01 / $7,039.01
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$252.36 / $252.36 / $252.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,627.00 / $12,373.00 / $15,090.00