go back

Wisconsin rates for HCPCS 41823

Exc Oss Tuberosities Dentoalveolar Struxs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$404.15 / $1,091.27 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.49 / $488.28 / $1,045.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,479.00 / $8,746.00 / $15,579.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.31 / $1,022.52 / $2,820.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,421.07 / $1,660.63 / $2,547.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.75 / $1,071.35 / $2,145.33
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$334.71 / $486.66 / $855.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.03 / $513.91 / $4,614.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.88 / $1,582.31 / $3,917.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.71 / $480.60 / $1,144.54
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$322.64 / $478.37 / $855.45
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$811.63 / $1,217.46 / $1,811.28
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.29 / $2,321.48 / $2,600.34
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.12 / $2,247.98 / $3,917.92
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,317.92 / $1,317.92 / $1,947.70
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,199.74 / $1,853.23 / $2,683.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.00 / $7,280.00 / $8,384.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.17 / $903.00 / $2,221.69