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Wisconsin rates for HCPCS 14001

Adjnt Tis Transfr/Rearrange Trunk 10.1-30.0 Sqcm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.40 / $1,663.60 / $11,299.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.40 / $705.73 / $1,782.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.00 / $3,496.00 / $5,962.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$764.60 / $1,601.84 / $3,434.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,133.85 / $2,493.58 / $3,825.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.90 / $1,251.90 / $2,358.19
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$632.27 / $974.84 / $2,218.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$643.70 / $1,407.91 / $4,821.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$769.70 / $1,518.50 / $4,817.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.88 / $463.75 / $1,393.26
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$632.27 / $974.84 / $2,218.14
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.04 / $1,938.08 / $2,689.94
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,249.83 / $1,670.40 / $3,055.88
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$770.88 / $3,088.90 / $6,000.88
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,191.23 / $2,751.86 / $3,450.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,976.00 / $4,155.00 / $5,865.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$749.27 / $1,441.86 / $3,169.27