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Wisconsin rates for HCPCS D7260

Oroantral Fistula Closure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.01 / $279.01 / $279.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.01 / $306.20 / $820.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.25 / $920.90 / $2,192.44
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.01 / $391.81 / $702.00
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$629.66 / $629.66 / $629.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.01 / $391.81 / $722.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.66 / $3,763.97 / $3,763.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $2,187.98
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.01 / $391.81 / $702.00
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$629.66 / $629.66 / $629.66
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.50 / $870.84 / $1,253.70
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,202.14 / $3,202.14 / $3,202.14
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,508.31 / $2,637.00 / $3,763.97
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,756.54 / $1,859.87 / $2,025.19