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Wisconsin rates for HCPCS 0163T

Tot Disc Arthrp Ant Appr Ea Addl Ntrspc Lumbar

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,870.00 / $16,241.00 / $23,060.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,556.96 / $5,325.17 / $8,168.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,896.38 / $2,954.96 / $3,357.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,166.74 / $5,166.74 / $5,166.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $70.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,470.06 / $4,470.06 / $4,470.06
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,023.35 / $5,166.74 / $5,166.74