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Wisconsin rates for HCPCS 40831

Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.57 / $321.08 / $790.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.32 / $742.12 / $1,790.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.04 / $750.98 / $1,229.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.69 / $1,199.36 / $2,141.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.95 / $230.46 / $659.04
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.06 / $702.11 / $1,058.16
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.69 / $1,258.02 / $2,192.56
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$809.37 / $1,019.00 / $1,501.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.69 / $1,212.27 / $1,827.45