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Wisconsin rates for HCPCS 42120

Resection of palate or extensive resection of lesion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $2,041.74 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,964.78 / $18,197.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $3,090.30 / $4,897.79
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,230.27 / $5,623.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,288.25 / $7,943.28
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $2,137.96 / $3,311.31
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,220.18 / $16,595.87 / $16,595.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $7,413.10 / $9,120.11