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Wisconsin rates for HCPCS 39220

Resection Mediastinal Tumor

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,019.77 / $2,225.34 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,084.00 / $12,066.00 / $19,370.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,777.25 / $3,245.44 / $5,234.78
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,019.77 / $1,291.69 / $4,595.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,025.25 / $2,429.00 / $7,700.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,019.77 / $1,491.32 / $4,595.10
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,206.75 / $3,395.00 / $4,741.14
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,876.21 / $16,876.21 / $16,876.21
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$513.94 / $513.94 / $513.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00