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Wisconsin rates for HCPCS 12052

Repair Intermediate F/E/E/N/L&/Muc 2.6-5.0 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.52 / $468.35 / $1,894.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.52 / $289.88 / $939.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.00 / $2,479.00 / $4,441.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.08 / $597.60 / $1,202.69
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.83 / $183.26 / $252.50
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.51 / $317.36 / $387.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$847.95 / $990.90 / $1,520.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.68 / $504.89 / $874.28
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.00 / $369.29 / $849.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.15 / $544.51 / $1,513.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.16 / $586.54 / $1,484.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.80 / $189.02 / $588.93
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.00 / $369.29 / $849.69
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.25 / $676.77 / $1,019.06
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.68 / $516.79 / $1,401.12
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.24 / $973.15 / $2,348.96
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.31 / $851.27 / $1,361.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,034.00 / $1,423.00 / $2,202.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.02 / $460.56 / $1,127.68