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Wisconsin rates for HCPCS 00172

Anesthesia for intraoral procedures, including biopsy; repair of cleft palate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $47.86 / $776.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $47.86 / $630.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $562.34 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $407.38 / $691.83
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $69.18 / $107.15
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $57.54 / $95.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $44.67 / $44.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $69.18 / $1,584.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $70.79 / $575.44
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $457.09 / $707.95
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $741.31 / $1,584.89
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $977.24 / $977.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $60.26 / $93.33