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Wisconsin rates for HCPCS 41850

Destruction of lesion (except excision), dentoalveolar structures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $131.83 / $17,782.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $128.82 / $194.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $4,570.88 / $7,079.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $229.09 / $588.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $371.54 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $269.15 / $537.03
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $165.96 / $3,548.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $173.78 / $4,786.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $199.53 / $891.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $275.42 / $426.58
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $3,715.35 / $3,715.35
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $575.44 / $870.96
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $85.11 / $457.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $3,801.89 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $165.96 / $446.68