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Wisconsin rates for HCPCS 21812

Open Tx Rib Fx W/Fixj Thoracoscopic Vis 4-6 Ribs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$668.24 / $1,395.25 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,344.00 / $10,517.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.36 / $2,030.24 / $3,114.44
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$668.24 / $935.54 / $1,505.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$675.78 / $1,395.25 / $8,384.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$668.24 / $935.54 / $1,505.97
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,392.95 / $1,697.26 / $2,533.67
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,099.04 / $13,099.04 / $13,099.04
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$324.41 / $324.41 / $324.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,614.00 / $7,611.00 / $9,134.00