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Wisconsin rates for HCPCS 0674T

Laps Insj New/Rplcmt Perm Isdss Agmntj Car Funcj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,461.00 / $6,461.00 / $17,823.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,344.00 / $10,517.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.49 / $720.49 / $720.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,078.00 / $20,369.00 / $39,888.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $70.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,078.00 / $19,708.00 / $24,111.00