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Wisconsin rates for HCPCS 0221T

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$754.49 / $754.49 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$754.49 / $834.67 / $1,318.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,139.00 / $13,743.77 / $21,606.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,227.01 / $2,785.82 / $7,350.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,657.16 / $1,936.52 / $2,970.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.25 / $2,422.79 / $2,753.18
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.23 / $1,124.19 / $1,394.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$749.04 / $1,294.75 / $11,598.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.51 / $1,607.28 / $9,707.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $70.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.23 / $1,124.19 / $1,394.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,248.80 / $2,890.83 / $4,122.80
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,132.00 / $17,132.00 / $17,132.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,459.58 / $5,459.58 / $9,707.44
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,007.54 / $2,007.54 / $2,007.54
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,430.98 / $4,047.17 / $4,047.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,241.00 / $9,837.00 / $12,062.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.51 / $1,711.41 / $2,960.30