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Wisconsin rates for HCPCS G0429

Dermal Filler Injection(S) For The Treatment Of Facial Lipidystrophy Syndrome (Lds) (E.G. As A Result Of Highly Active Antiretroviral Therapy)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.77 / $81.76 / $113.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.94 / $146.74 / $321.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.28 / $157.21 / $257.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.88 / $176.38 / $419.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.42 / $92.31 / $207.38
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.99 / $220.69 / $324.54
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.28 / $337.55 / $610.72
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.37 / $238.56 / $301.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.89 / $151.88 / $375.84