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Wisconsin rates for HCPCS 31613

Tracheostoma revision; simple, without flap rotation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $870.96 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $4,786.30 / $7,585.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,318.26 / $2,089.30
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $2,884.03 / $5,370.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $5,495.41 / $8,317.64
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $1,000.00 / $1,698.24
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $7,943.28 / $7,943.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $7,413.10 / $9,120.11