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Wisconsin rates for HCPCS 0171U

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,822.87 / $1,822.87 / $1,822.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,169.68 / $1,427.92 / $1,822.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.16 / $239.16 / $6,285.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,311.34 / $2,311.34 / $2,311.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,180.30 / $4,885.01 / $7,493.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,797.70 / $4,090.53 / $4,648.33
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,169.68 / $1,822.87 / $5,316.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,169.68 / $1,822.87 / $5,316.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.53 / $911.44 / $4,684.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,169.68 / $1,822.87 / $5,316.71
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,535.84 / $3,622.02 / $5,080.13
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,038.12 / $7,215.54 / $7,215.54
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,076.24 / $6,076.24 / $7,564.92
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,234.90 / $3,234.90 / $3,234.90
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,294.07 / $8,294.07 / $8,294.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.53 / $911.44 / $3,190.03