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Wisconsin rates for HCPCS 31755

Tracheoplasty Tracheopharyngeal Fstlj Ea Stg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,121.44 / $3,550.97 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,373.83 / $2,121.44 / $6,018.83
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
$1,695.91 / $4,710.75 / $10,251.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,599.32 / $5,374.67 / $8,669.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,351.54 / $5,337.78 / $7,282.91
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,736.03 / $2,374.27 / $3,393.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,893.85 / $5,266.00 / $15,126.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,921.97 / $5,035.64 / $11,802.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.92 / $1,050.29 / $3,441.96
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,736.03 / $2,374.27 / $3,393.15
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,370.25 / $5,204.18 / $6,906.71
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,547.20 / $16,547.20 / $16,547.20
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,427.56 / $8,315.70 / $12,841.28
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,267.92 / $4,267.92 / $4,267.92
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,027.59 / $10,417.16 / $10,417.16
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
$1,825.87 / $4,792.64 / $7,434.24