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Wisconsin rates for HCPCS 40830

Closure of laceration, vestibule of mouth; 2.5 cm or less

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $223.87 / $467.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $436.52 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $537.03 / $954.99
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $436.52 / $676.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $489.78 / $1,659.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $354.81
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $457.09 / $794.33
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $575.44 / $1,621.81
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $933.25 / $1,258.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $363.08 / $1,047.13