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Wisconsin rates for HCPCS 20933

Hemicortical Intercalary Allograft Partial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$655.04 / $1,367.71 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.80 / $676.27 / $3,005.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.16 / $1,511.65 / $4,068.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,712.13 / $2,000.76 / $3,069.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,021.28 / $2,655.14 / $3,017.20
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$655.04 / $878.04 / $1,447.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$655.04 / $1,124.00 / $1,789.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.75 / $1,263.52 / $5,012.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.06 / $654.49 / $1,563.91
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$655.04 / $878.04 / $1,447.66
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,117.26 / $1,632.03 / $2,349.56
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,132.09 / $3,132.09 / $3,132.09
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,204.95 / $3,144.00 / $5,012.24
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,182.02 / $2,182.02 / $2,182.02
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,577.61 / $4,225.47 / $4,225.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,034.00 / $1,423.00 / $2,202.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$732.65 / $1,319.70 / $2,766.72