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Wisconsin rates for HCPCS 40840

Vestibuloplasty Anterior

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.11 / $1,762.74 / $3,141.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,479.00 / $9,096.00 / $15,579.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,296.05 / $2,683.12 / $4,327.78
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$651.90 / $940.13 / $1,457.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$690.13 / $1,236.49 / $8,384.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$651.90 / $940.13 / $1,457.54
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,414.31 / $2,035.10 / $3,050.33
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,462.32 / $4,462.32 / $4,462.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,614.00 / $6,477.00 / $8,384.00