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Wisconsin rates for HCPCS 42235

Repair Anterior Palate W/Vomer Flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$829.59 / $2,736.02 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.17 / $793.93 / $1,535.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,979.00 / $8,436.00 / $15,579.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$706.96 / $1,701.72 / $4,343.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,970.75 / $2,302.98 / $3,532.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$791.02 / $2,360.29 / $3,076.93
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.36 / $874.12 / $1,570.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.36 / $989.74 / $12,855.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$749.81 / $1,654.32 / $6,710.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.50 / $638.74 / $1,578.96
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.36 / $874.12 / $1,570.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,346.40 / $1,795.65 / $3,112.78
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$834.74 / $16,547.20 / $16,547.20
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,042.25 / $3,495.15 / $6,710.08
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,738.96 / $2,738.96 / $2,738.96
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,480.16 / $3,756.92 / $3,756.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,266.00 / $11,733.00 / $13,980.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$747.05 / $1,398.06 / $3,154.37