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Wisconsin rates for HCPCS D7283

Plcmt Device Facilitate Eruption Impacted Tooth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.83 / $176.83 / $176.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.12 / $176.83 / $208.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.03 / $298.35 / $849.89
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.58 / $214.47 / $444.32
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.58 / $40.58 / $40.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.58 / $214.47 / $444.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.15 / $1,283.58 / $1,283.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $273.45
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.58 / $214.47 / $444.32
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.58 / $40.58 / $40.58
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.43 / $551.37 / $793.78
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,246.93 / $1,246.93 / $1,246.93
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$957.65 / $1,283.58 / $1,283.58