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Wisconsin rates for HCPCS 15241

Fth/Gt Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F Ea Addl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.64 / $214.79 / $6,461.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.64 / $145.94 / $353.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.00 / $1,183.00 / $1,530.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.88 / $317.83 / $694.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$458.67 / $535.99 / $822.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.91 / $242.70 / $500.40
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.95 / $201.04 / $471.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.68 / $285.51 / $1,513.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.68 / $346.98 / $1,775.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.44 / $159.30 / $366.38
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.95 / $201.04 / $471.78
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.08 / $358.62 / $561.46
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.42 / $269.20 / $482.93
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.00 / $524.85 / $1,925.20
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.60 / $443.87 / $741.17
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
$167.96 / $273.47 / $663.10