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Wisconsin rates for HCPCS Q4135

Mediskin, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.00 / $26.00 / $26.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.00 / $26.00 / $65.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.26 / $98.39 / $139.71
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.00 / $26.00 / $39.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.00 / $26.00 / $65.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.00 / $26.00 / $46.80
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,900.00 / $5,900.00 / $5,900.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $65.00 / $100.00