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Wisconsin rates for HCPCS 0101T

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.90 / $109.90 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.90 / $121.58 / $215.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $8,139.00 / $11,136.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.48 / $339.49 / $885.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$931.76 / $1,088.83 / $1,670.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.63 / $554.97 / $630.65
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.90 / $197.82 / $732.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.58 / $442.69 / $11,100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.64 / $480.54 / $1,333.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $737.51
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.90 / $197.82 / $732.17
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.28 / $519.82 / $724.90
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.92 / $264.92 / $6,384.05
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.24 / $1,299.34 / $1,333.84
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,116.34 / $1,116.34 / $1,116.34
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,351.82 / $2,250.54 / $2,250.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,240.00 / $9,158.00 / $12,062.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.37 / $480.76 / $974.51