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Wisconsin rates for HCPCS 69632

Tympnoplsty W/O Mstdc 1st/Revj W/Osicle Recnstj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,015.67 / $2,210.42 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $9,948.00 / $15,579.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,862.86 / $3,345.48 / $5,396.13
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,015.67 / $1,450.81 / $2,276.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,080.65 / $5,266.00 / $15,126.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,015.67 / $1,450.81 / $2,276.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,105.35 / $3,250.98 / $3,829.47
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
$7,217.00 / $11,608.00 / $13,980.00