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Wisconsin rates for HCPCS 23020

Capsular Contracture Release

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.43 / $1,421.17 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,169.00 / $8,408.00 / $12,444.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,462.54 / $3,462.54 / $3,462.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,795.03 / $2,097.64 / $3,217.83
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.43 / $972.14 / $1,579.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.43 / $1,383.53 / $11,100.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.43 / $972.14 / $1,579.08
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,379.30 / $1,680.62 / $2,508.84
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,244.77 / $3,244.77 / $8,957.00
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$849.00 / $849.00 / $849.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,240.00 / $9,158.00 / $12,062.00