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Wisconsin rates for HCPCS 42440

Excision of submandibular (submaxillary) gland

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $4,897.79 / $13,489.63
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
$1,096.48 / $1,288.25 / $2,041.74
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$70.79 / $70.79 / $70.79
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $602.56 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $660.69 / $13,182.57
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,584.89 / $1,584.89 / $1,584.89
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $870.96 / $1,348.96
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,220.18 / $16,595.87 / $16,595.87
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,122.02 / $1,122.02 / $1,659.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $12,302.69 / $16,218.10