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Wisconsin rates for HCPCS 0123U

Mechanical fragility, RBC, shear stress and spectral analysis profiling

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $977.24 / $977.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $288.40 / $426.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $4.27 / $1,047.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,148.15 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $537.03 / $1,122.02
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $1,230.27 / $2,089.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $338.84 / $1,698.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $213.80 / $645.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $85.11 / $977.24
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $831.76 / $1,174.90
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $707.95 / $1,698.24
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,949.84 / $2,691.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $288.40 / $426.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $213.80 / $691.83