go back

Wisconsin rates for HCPCS 21632

Radical resection of sternum; with mediastinal lymphadenectomy

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,128.31 / $13,489.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $3,467.37 / $5,623.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $4,677.35 / $5,370.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,791.08 / $14,791.08 / $14,791.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $58.88 / $58.88
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $7,413.10 / $7,413.10
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,025.60 / $14,791.08 / $14,791.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,489.63 / $14,125.38 / $15,488.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $2,187.76 / $4,786.30