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Wisconsin rates for HCPCS 40840

Vestibuloplasty; anterior

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,288.25 / $3,162.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $10,232.93 / $17,378.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $2,691.53 / $4,265.80
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,445.44 / $4,265.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,698.24 / $8,709.64
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,862.09 / $3,019.95
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,220.18 / $16,595.87 / $16,595.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $7,413.10 / $9,120.11