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Wisconsin rates for HCPCS 39200

Resection Of Mediastinal Cyst

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.40 / $1,683.49 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$773.40 / $791.10 / $2,915.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,084.00 / $12,066.00 / $19,370.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$814.29 / $2,244.38 / $4,655.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,105.92 / $2,460.92 / $3,969.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,421.62 / $2,535.28 / $3,364.43
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.40 / $904.88 / $1,884.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$779.62 / $1,911.00 / $7,700.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$979.07 / $2,033.78 / $4,773.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.80 / $661.16 / $1,855.30
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.40 / $957.72 / $1,884.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,683.50 / $2,595.75 / $3,630.12
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,881.83 / $12,881.83 / $12,881.83
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,455.34 / $4,066.75 / $11,002.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,259.64 / $4,259.64 / $4,259.64
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,822.66 / $5,681.16 / $5,681.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$979.07 / $2,094.46 / $3,564.51