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Wisconsin rates for HCPCS 40525

Exc Lip Full Thkns Rcnstj W/Local Flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$608.41 / $1,133.55 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.00 / $4,780.00 / $7,344.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,442.69 / $1,685.90 / $2,586.21
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$522.07 / $806.69 / $1,572.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$604.55 / $1,511.40 / $8,384.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$522.07 / $806.69 / $1,572.99
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,042.25 / $1,336.33 / $2,299.67
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,363.88 / $7,909.30 / $7,909.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,614.00 / $6,477.00 / $8,384.00