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Wisconsin rates for HCPCS G0268

Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.52 / $47.26 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.10 / $46.32 / $84.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.00 / $1,183.00 / $1,530.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.23 / $98.83 / $224.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.87 / $161.11 / $259.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.59 / $75.69 / $153.69
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.52 / $47.26 / $73.38
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.54 / $34.54 / $34.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.51 / $60.75 / $1,789.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.04 / $116.00 / $227.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.20 / $69.63 / $137.89
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.52 / $47.26 / $73.38
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.54 / $34.54 / $34.54
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.92 / $111.29 / $173.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.72 / $169.72 / $169.72
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.42 / $205.61 / $327.13
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.90 / $112.47 / $180.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,034.00 / $1,423.00 / $2,202.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.67 / $103.08 / $185.55