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Wisconsin rates for HCPCS 42450

Excision of sublingual gland

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $758.58 / $3,090.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $10,232.93 / $18,197.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,479.11 / $2,344.23
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $512.86 / $2,884.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $524.81 / $5,623.41
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $977.24 / $1,584.89
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
$4,897.79 / $7,413.10 / $9,120.11