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Wisconsin rates for HCPCS 12037

Repair Intermediate S/A/T/E >30.0 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.23 / $657.11 / $3,119.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,183.00 / $3,483.00 / $5,962.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,274.18 / $1,488.98 / $2,284.14
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.23 / $571.61 / $1,319.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.46 / $872.43 / $4,821.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.23 / $571.61 / $1,319.10
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.16 / $1,087.90 / $1,585.92
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.23 / $823.58 / $2,283.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,976.00 / $4,155.00 / $5,865.00