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Wisconsin rates for HCPCS 69726

Removal Entire Oi Implt Skl Perq Attachment Esp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$443.44 / $979.07 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.66 / $443.44 / $606.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,344.00 / $10,517.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.30 / $1,086.61 / $2,357.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,254.35 / $1,465.82 / $2,364.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$648.37 / $1,377.67 / $1,991.45
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$443.44 / $522.16 / $935.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.65 / $7,081.00 / $12,216.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.00 / $1,047.03 / $2,423.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.10 / $354.10 / $1,003.99
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$443.44 / $522.16 / $935.55
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$617.19 / $1,132.72 / $1,697.78
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,957.00 / $8,957.00 / $8,957.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.72 / $2,016.59 / $3,557.04
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,157.45 / $1,157.45 / $1,157.45
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.12 / $2,691.12 / $2,691.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,241.00 / $9,837.00 / $12,062.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.00 / $1,312.67 / $2,032.27