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Wisconsin rates for HCPCS 42699

Unlisted Px Salivary Glands/Ducts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,894.00 / $1,894.00 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,135.22 / $2,335.00 / $2,335.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,183.00 / $12,654.00 / $24,019.00
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,635.60 / $3,635.60 / $3,635.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,100.00 / $1,778.00 / $3,635.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,335.23 / $3,335.23 / $3,335.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,635.60 / $3,635.60 / $3,635.60
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.20 / $1,905.20 / $1,905.20
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,335.23 / $3,335.23 / $3,335.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,008.00 / $1,507.00 / $2,202.90