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Wisconsin rates for HCPCS 39200

Resection of mediastinal cyst

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,698.24 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $851.14 / $2,089.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,120.11 / $12,882.50 / $22,387.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,584.89 / $3,801.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $2,454.71 / $3,890.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $2,570.40 / $2,951.21
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $6,918.31 / $13,489.63
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $2,041.74 / $2,511.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $2,691.53 / $7,943.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,513.56 / $10,964.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,148.15
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $2,089.30 / $3,548.13
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $12,589.25 / $12,589.25
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $4,073.80 / $10,964.78
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,265.80 / $4,265.80 / $4,265.80
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.89 / $5,623.41 / $5,754.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $6,165.95 / $19,498.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,348.96 / $3,467.37