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Wisconsin rates for HCPCS 41899

Unlisted Procedure Dentoalveolar Structures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,894.00 / $6,255.04 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,386.88 / $6,407.10 / $6,834.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,183.00 / $12,654.00 / $24,019.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$697.80 / $1,590.00 / $3,800.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,044.17 / $8,044.17 / $8,044.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $85.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,922.50 / $2,922.50 / $2,922.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,044.17 / $8,044.17 / $8,044.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,034.00 / $1,641.00 / $2,202.90