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Wisconsin rates for HCPCS 41017

Xtroral I&D Absc Cst/Hmtma Floor Mouth Submndb

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.41 / $960.77 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.00 / $3,168.00 / $5,962.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,251.66 / $1,462.66 / $2,243.76
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.12 / $477.39 / $789.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.21 / $492.83 / $3,036.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.12 / $477.39 / $789.74
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.31 / $1,098.01 / $1,599.74
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$574.02 / $2,422.50 / $7,909.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,976.00 / $3,827.00 / $5,471.00