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Wisconsin rates for HCPCS 21805

Open Tx Rib Fracture W/O Fixation Each

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$673.14 / $786.61 / $1,206.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.33 / $537.74 / $1,074.74
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.52 / $369.40 / $1,100.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.52 / $438.12 / $1,100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,635.00 / $3,635.00 / $3,635.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $58.40 / $58.40
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.52 / $369.40 / $1,100.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,473.90 / $6,473.90 / $6,473.90
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,493.25 / $3,635.00 / $3,635.00