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Wisconsin rates for HCPCS 11012

Dbrdmt Fx&/Dislc Subq T/M/F Bone

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.08 / $1,310.94 / $3,537.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.08 / $545.37 / $1,087.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,183.00 / $6,787.00 / $10,517.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.53 / $1,225.05 / $2,571.78
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.05 / $370.71 / $529.75
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.64 / $640.90 / $804.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,701.31 / $1,988.12 / $3,049.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.62 / $907.56 / $1,880.23
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$403.89 / $745.78 / $1,768.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.86 / $1,107.15 / $3,995.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.00 / $1,293.02 / $3,031.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.54 / $608.34 / $1,393.26
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$403.89 / $745.78 / $1,768.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$923.26 / $1,394.64 / $2,130.69
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$778.70 / $1,040.72 / $1,920.28
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.13 / $1,991.00 / $4,784.39
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$910.41 / $1,715.92 / $2,751.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,257.00 / $3,088.30 / $4,725.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.04 / $1,014.66 / $2,456.73