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Wisconsin rates for HCPCS 38900

Intraoperative identification (eg, mapping) of sentinel lymph node(s) includes injection of non-radioactive dye, when performed (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $1,778.28 / $5,495.41
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$11,481.54 / $11,481.54 / $11,481.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $269.15 / $1,000.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,584.89 / $1,584.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $251.19 / $645.65
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $323.59 / $323.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $389.05 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $407.38 / $467.74
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $2,630.27 / $5,128.61
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $323.59 / $398.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $1,318.26 / $3,548.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $245.47 / $630.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $173.78
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $338.84 / $512.86
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $331.13 / $851.14
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$33.11 / $33.11 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $645.65 / $954.99
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $707.95 / $954.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,584.89 / $1,949.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $204.17 / $537.03