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Wisconsin rates for HCPCS 20703

Removal Intramedullary Drug Delivery Device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.44 / $207.02 / $14,482.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.72 / $301.17 / $462.00
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.44 / $126.61 / $215.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.44 / $201.54 / $1,789.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.44 / $124.66 / $215.34
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.56 / $247.68 / $356.58
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$475.35 / $475.35 / $475.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,034.00 / $1,590.00 / $2,202.90