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Wisconsin rates for HCPCS 26372

Rpr/Advmnt Tdn W/Ntc Supfcis Tdn W/Free Graft Ea

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$906.96 / $1,869.50 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$859.42 / $930.16 / $4,098.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,692.00 / $13,743.77 / $21,606.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$834.62 / $1,813.91 / $5,646.77
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,560.77 / $7,560.77 / $7,560.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,424.01 / $2,832.65 / $4,345.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,413.46 / $3,832.58 / $4,599.89
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$906.96 / $1,329.42 / $2,077.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$906.96 / $1,709.57 / $11,598.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$975.40 / $1,877.75 / $6,790.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.25 / $543.62 / $1,729.93
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$906.96 / $1,329.42 / $2,077.23
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,796.60 / $2,189.09 / $3,267.88
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,185.04 / $9,185.04 / $25,354.75
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,717.98 / $4,287.10 / $6,790.16
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,028.79 / $3,028.79 / $3,028.79
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,762.16 / $4,623.05 / $5,843.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,240.00 / $9,158.00 / $12,062.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$973.98 / $1,848.78 / $3,901.26