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Wisconsin rates for HCPCS 69120

Excision External Ear Complete Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.80 / $797.74 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,479.00 / $9,096.00 / $15,579.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,033.58 / $1,207.83 / $1,948.18
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.80 / $537.54 / $840.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.01 / $4,103.00 / $8,783.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.80 / $541.85 / $840.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.90 / $1,170.31 / $1,378.56
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,547.20 / $16,547.20 / $16,547.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,614.00 / $6,477.00 / $8,384.00