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Wisconsin rates for HCPCS 42810

Exc Branchial Cleft Cyst Confined Skn&Subq Tis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.38 / $804.11 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.23 / $381.76 / $695.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.00 / $4,931.00 / $7,344.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.28 / $803.92 / $2,121.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,052.51 / $1,229.94 / $1,886.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.39 / $786.53 / $1,632.69
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.25 / $398.48 / $749.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.64 / $428.86 / $4,614.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.00 / $1,288.26 / $2,915.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $355.39 / $855.43
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.25 / $394.45 / $749.40
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.11 / $912.36 / $1,330.92
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$476.27 / $2,015.88 / $7,909.30
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.25 / $1,670.27 / $2,915.36
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,029.93 / $1,029.93 / $1,441.86
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,026.43 / $1,442.59 / $1,993.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.00 / $7,280.00 / $8,384.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.88 / $777.98 / $1,680.14