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Wisconsin rates for HCPCS 15570

Formation of direct or tubed pedicle, with or without transfer; trunk

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $1,479.11 / $6,456.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $4,897.79 / $7,585.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $2,754.23 / $4,365.16
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,778.28 / $4,897.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,778.28 / $5,128.61
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $2,137.96 / $3,235.94
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $5,623.41 / $5,623.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $3,801.89 / $6,606.93