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Wisconsin rates for HCPCS 40843

Vestibuloplasty Posterior Bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$948.92 / $2,454.50 / $6,461.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.50 / $1,112.72 / $3,707.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,479.00 / $9,096.00 / $15,579.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,118.73 / $2,812.92 / $6,710.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,152.12 / $3,683.50 / $5,941.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,291.27 / $3,106.36 / $4,924.18
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$904.82 / $1,309.07 / $2,007.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$913.18 / $1,693.86 / $8,384.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,270.32 / $3,763.80 / $7,073.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.28 / $1,090.89 / $2,622.68
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$904.82 / $1,309.07 / $2,007.67
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,954.26 / $2,854.67 / $4,278.74
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,095.10 / $6,095.10 / $6,095.10
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,195.70 / $5,037.53 / $8,857.04
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,125.16 / $3,125.16 / $4,378.51
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,034.01 / $4,310.07 / $6,012.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.00 / $6,477.00 / $8,384.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,169.23 / $3,280.18 / $5,831.82