go back

Wisconsin rates for HCPCS 41005

Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, superficial

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $208.93 / $389.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $323.59 / $933.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $338.84 / $851.14
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $398.11 / $630.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $501.19 / $1,698.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $169.82
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $389.05 / $758.58
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $457.09 / $1,621.81
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $616.60 / $1,174.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $234.42 / $602.56