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Wisconsin rates for HCPCS 15572

Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs

Facilitymedian $7,586 · 10th–90th $1,514$11,7490%10%10th90th$7,586Professionalmedian $1,096 · 10th–90th $676$2,8180%5%10%10th90th$1,096$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $1,513.56 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $812.83 / $1,819.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $7,943.28 / $12,589.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $1,659.59 / $3,801.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $2,691.53 / $4,365.16
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $1,412.54 / $2,398.83
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $1,778.28 / $5,128.61
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,348.96 / $1,949.84 / $2,570.40
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $1,778.28 / $10,964.78
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $1,548.82 / $5,495.41
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $2,137.96
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $8,511.38 / $9,120.11
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $2,089.30 / $3,235.94
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $2,137.96 / $3,090.30
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $11,220.18 / $11,220.18
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $1,318.26 / $6,309.57
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,348.96 / $1,348.96 / $1,621.81
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,548.82 / $3,090.30 / $3,890.45
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,309.57 / $10,232.93 / $12,022.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $1,202.26 / $3,090.30