go back

Wisconsin rates for HCPCS 56800

Plastic Repair Introitus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.64 / $516.66 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.00 / $4,780.00 / $7,344.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$656.92 / $767.66 / $1,238.21
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.59 / $307.63 / $493.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.64 / $4,103.00 / $8,384.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.59 / $307.63 / $493.70
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.90 / $742.40 / $905.64
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,496.40 / $9,496.40 / $9,496.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,614.00 / $6,477.00 / $8,384.00