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Wisconsin rates for HCPCS 15570

Frmj Direct/Tubed Pedicle W/Wo Transfer Trunk

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$603.27 / $1,477.98 / $6,461.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.00 / $4,780.00 / $7,344.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,367.23 / $2,766.31 / $4,243.59
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$705.83 / $1,090.53 / $2,463.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.08 / $1,565.20 / $4,821.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$705.83 / $1,090.53 / $2,463.78
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,587.60 / $2,158.16 / $2,985.06
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,386.02 / $1,852.40 / $3,399.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,960.00 / $4,155.00 / $5,865.00