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Wisconsin rates for HCPCS 62143

Replacement of bone flap or prosthetic plate of skull

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$905.01 / $2,027.05 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,955.00 / $13,152.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,544.76 / $2,973.76 / $4,796.56
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$905.01 / $1,327.41 / $1,983.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$991.00 / $2,429.00 / $7,700.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$905.01 / $1,368.74 / $1,983.22
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,091.05 / $3,217.00 / $4,231.87
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,128.60 / $12,128.60 / $12,128.60
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$487.00 / $487.00 / $487.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00