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Wisconsin rates for HCPCS 31225

Maxillectomy W/O Orbital Exenteration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,183.19 / $3,676.41 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $10,800.00 / $18,360.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,680.42 / $5,469.44 / $8,822.01
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,960.75 / $2,554.33 / $5,231.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,960.75 / $2,803.00 / $7,700.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,797.36 / $2,554.33 / $5,231.14
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,514.55 / $5,427.01 / $7,215.31
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,871.84 / $16,871.84 / $16,871.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00