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Wisconsin rates for HCPCS 40899

Unlisted Procedure Vestibule Mouth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,466.00 / $9,245.00 / $17,823.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,183.00 / $13,919.00 / $24,485.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$916.00 / $1,449.00 / $2,090.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,335.23 / $3,335.23 / $3,335.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $85.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,335.23 / $3,335.23 / $3,335.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,034.00 / $1,423.00 / $2,202.90