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Wisconsin rates for HCPCS 42507

Parotid duct diversion, bilateral (Wilke type procedure);

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $1,023.29 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $537.03 / $1,023.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,964.78 / $18,197.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $954.99 / $2,398.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $1,548.82 / $2,454.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $1,047.13 / $2,089.30
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $660.69 / $4,365.16
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,071.52 / $1,659.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $691.83 / $13,182.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $891.25 / $4,786.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $1,047.13 / $1,621.81
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,220.18 / $16,595.87 / $16,595.87
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $2,398.83 / $4,786.30
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $1,819.70 / $1,819.70
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,995.26 / $2,511.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $12,302.69 / $16,218.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $707.95 / $1,862.09