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Wisconsin rates for HCPCS 42420

Exc Prtd Tum/Prtd Glnd Tot Dsj&Prsrv Facial Nr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,306.11 / $4,319.81 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $10,038.00 / $15,579.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,062.01 / $3,578.20 / $5,489.04
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$132.97 / $132.97 / $132.97
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,164.49 / $1,598.32 / $2,782.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,159.05 / $1,809.05 / $12,855.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,568.44 / $1,568.44 / $1,568.44
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,164.49 / $1,570.48 / $2,782.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,148.00 / $2,864.72 / $4,912.97
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,349.70 / $16,547.20 / $16,547.20
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$132.97 / $1,568.44 / $1,568.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,301.00 / $11,799.00 / $13,980.00