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Wisconsin rates for HCPCS 69643

Tmpp Mastoidect Ntc/Rcnsted Wall W/O Ocr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,145.99 / $2,496.87 / $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
$3,222.41 / $3,765.64 / $6,073.84
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,145.99 / $1,644.41 / $2,747.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,220.69 / $5,266.00 / $15,126.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,145.99 / $1,692.45 / $2,747.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,380.30 / $3,675.55 / $4,329.58
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
$7,301.00 / $11,608.00 / $13,980.00