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Wisconsin rates for HCPCS 40819

Exc Frenum Labial/Buccal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.53 / $568.51 / $1,894.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.53 / $298.12 / $828.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,183.00 / $3,483.00 / $5,962.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.49 / $682.31 / $1,594.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$728.11 / $850.85 / $1,372.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.21 / $735.67 / $1,131.63
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.00 / $303.14 / $543.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.53 / $429.81 / $5,261.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.10 / $981.84 / $1,994.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.91 / $219.62 / $575.04
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.00 / $303.14 / $543.24
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.95 / $648.05 / $1,084.39
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,415.04 / $1,415.04 / $1,415.04
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.17 / $1,157.67 / $2,017.92
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.68 / $731.68 / $1,005.88
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.26 / $1,020.75 / $1,381.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,976.00 / $4,155.00 / $5,865.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.24 / $932.36 / $1,491.70