go back

Wisconsin rates for HCPCS 12045

Repair Intermediate N/H/F/Xtrnl Gent 12.6-20 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.46 / $843.93 / $3,119.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.00 / $2,479.00 / $4,441.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,095.76 / $1,280.48 / $1,964.30
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.05 / $477.84 / $1,118.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.99 / $624.73 / $1,590.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.05 / $477.84 / $1,118.88
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$601.92 / $905.30 / $1,339.27
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.37 / $695.47 / $1,916.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,034.00 / $1,423.00 / $2,202.90