go back

Wisconsin rates for HCPCS 41899

Unlisted procedure, dentoalveolar structures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $4,073.80 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $1,659.59 / $6,918.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $13,803.84 / $30,199.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $1,412.54
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $2,818.38 / $5,370.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,445.44 / $7,413.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,128.31 / $8,128.31 / $8,128.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $70.79
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $2,951.21 / $2,951.21
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $8,128.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,548.82 / $1,949.84