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Wisconsin rates for HCPCS 0275T

Perc Lamino-/Laminectomy Indir Imag Guide Lumbar

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,870.00 / $16,083.00 / $22,519.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$890.42 / $1,580.49 / $10,565.76
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$666.07 / $1,512.42 / $2,268.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,512.42 / $2,722.36 / $16,779.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.58 / $1,737.03 / $4,256.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $6,023.80
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$666.07 / $1,512.42 / $2,268.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,729.00 / $5,729.00 / $5,729.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.58 / $1,848.95 / $4,256.96