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Wisconsin rates for HCPCS 42507

Parotid Duct Diversion Bilateral Wilke Px

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$552.29 / $1,814.65 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.03 / $552.29 / $1,388.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $10,038.00 / $15,579.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.65 / $1,132.91 / $2,893.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,310.23 / $1,531.11 / $2,348.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.84 / $1,622.95 / $2,054.13
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$477.36 / $646.19 / $1,245.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$475.79 / $703.75 / $12,855.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.80 / $1,137.53 / $4,794.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.50 / $442.46 / $1,073.39
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$475.91 / $636.54 / $1,287.49
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.20 / $1,193.90 / $2,078.06
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.49 / $16,547.20 / $16,547.20
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.80 / $2,403.30 / $4,794.81
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,816.08 / $1,816.08 / $1,816.08
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,644.95 / $2,508.11 / $2,508.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,301.00 / $11,799.00 / $13,980.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.41 / $1,003.55 / $2,177.39