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Wisconsin rates for HCPCS 20501

Injection Sinus Tract Diagnostic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.93 / $288.00 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.00 / $1,183.00 / $1,530.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.78 / $449.64 / $597.61
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.93 / $115.07 / $241.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.54 / $146.71 / $1,449.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.93 / $115.07 / $241.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.67 / $167.99 / $467.08
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.95 / $182.61 / $2,922.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,034.00 / $1,533.00 / $2,202.90