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Wisconsin rates for HCPCS 31087

Sinusot Frnt Nonoblit W/Ostpl Flap Coronal Inc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,370.72 / $2,294.82 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.09 / $1,370.72 / $3,704.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $9,948.00 / $15,579.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,043.10 / $2,920.55 / $6,613.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,952.07 / $3,449.73 / $5,564.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,519.68 / $3,452.64 / $4,670.10
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,121.91 / $1,603.74 / $2,192.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,223.90 / $5,266.00 / $15,126.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,245.16 / $3,294.82 / $7,469.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $697.89 / $2,283.01
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,223.90 / $1,603.74 / $2,192.83
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,189.19 / $3,368.00 / $4,137.08
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,497.10 / $23,497.10 / $23,497.10
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,570.23 / $5,263.20 / $8,358.56
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,753.18 / $2,753.18 / $2,753.18
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,602.84 / $6,738.16 / $6,738.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,301.00 / $11,608.00 / $13,980.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,245.16 / $3,170.10 / $4,705.30