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Wisconsin rates for HCPCS 42160

Dstrj Lesion Palate/Uvula Thermal Cryo/Chem

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.33 / $463.12 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.22 / $220.38 / $416.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.00 / $3,193.00 / $5,962.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.50 / $446.84 / $1,215.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$610.05 / $712.90 / $1,093.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.26 / $471.44 / $945.34
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.00 / $216.59 / $389.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.32 / $228.18 / $2,783.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.19 / $788.15 / $1,685.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.82 / $324.69 / $506.17
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.75 / $213.10 / $388.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.22 / $501.30 / $761.99
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.34 / $997.14 / $2,598.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.75 / $967.10 / $1,685.04
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.04 / $522.04 / $868.88
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.15 / $748.19 / $1,154.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,781.00 / $3,628.00 / $5,471.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.79 / $455.58 / $1,031.89