go back

Wisconsin rates for HCPCS 29804

Arthroscopy Temporomandibular Joint Surgical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$592.30 / $1,244.16 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $8,139.00 / $11,136.00
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
$1,570.65 / $1,835.43 / $2,815.60
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$584.64 / $884.74 / $1,392.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$592.30 / $1,244.16 / $11,100.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$584.64 / $866.93 / $1,392.35
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.59 / $1,428.77 / $2,132.87
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,244.77 / $3,244.77 / $8,957.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,240.00 / $9,158.00 / $12,062.00