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Wisconsin rates for HCPCS 40842

Vestibuloplasty Posterior Unilateral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.32 / $863.36 / $2,807.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$835.43 / $2,184.79 / $5,103.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$932.09 / $2,432.40 / $3,834.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$945.55 / $2,784.71 / $5,432.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.50 / $735.20 / $1,766.26
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,419.74 / $1,974.39 / $2,947.47
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$936.29 / $3,922.92 / $6,882.96
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,307.59 / $3,374.99 / $4,682.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$945.55 / $2,336.35 / $4,314.77