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Wisconsin rates for HCPCS 31613

Tracheostoma Revj Smpl W/O Flap Rotation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$516.83 / $864.23 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.00 / $4,780.00 / $7,344.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,120.99 / $1,309.97 / $2,112.92
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.92 / $604.69 / $1,612.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$465.54 / $1,612.41 / $8,384.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.92 / $623.53 / $1,612.41
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$825.50 / $1,274.70 / $1,755.93
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,909.30 / $7,909.30 / $7,909.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,614.00 / $6,477.00 / $8,384.00