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Wisconsin rates for HCPCS 0054T

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.60 / $102.60 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.60 / $155.44 / $455.20
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
$157.85 / $259.27 / $631.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.50 / $473.86 / $726.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.00 / $245.22 / $278.66
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.60 / $163.30 / $336.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.04 / $256.50 / $1,778.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.85 / $432.74 / $1,242.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $590.41
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.60 / $163.30 / $336.94
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.02 / $403.08 / $552.79
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.56 / $773.56 / $773.56
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.90 / $753.55 / $1,242.96
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.28 / $493.28 / $493.28
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.30 / $994.45 / $994.45
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
$179.30 / $391.85 / $723.15