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Wisconsin rates for HCPCS 0170U

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,106.00 / $2,106.00 / $2,106.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,351.35 / $1,667.25 / $2,106.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.26 / $336.26 / $7,800.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,966.94 / $2,966.94 / $2,966.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,366.17 / $6,270.79 / $9,619.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,307.73 / $5,250.96 / $5,967.00
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,351.35 / $2,145.00 / $6,825.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,351.35 / $2,340.00 / $6,825.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$877.50 / $1,127.94 / $5,412.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,351.35 / $2,145.00 / $6,825.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,255.12 / $4,649.39 / $6,521.09
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,900.00 / $9,262.50 / $9,262.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,800.00 / $7,800.00 / $9,711.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,737.35 / $3,737.35 / $3,737.35
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,666.70 / $10,647.00 / $10,647.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,950.00 / $1,950.00 / $1,950.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$877.50 / $1,123.73 / $3,685.50