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Wisconsin rates for HCPCS 20934

Intercalary Allograft Complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$712.92 / $1,489.86 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.94 / $736.73 / $3,270.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.15 / $1,425.84 / $4,426.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,865.32 / $2,179.77 / $3,343.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,112.80 / $2,891.70 / $3,286.03
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$712.92 / $956.41 / $1,575.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$712.92 / $1,169.06 / $1,789.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$797.39 / $1,376.38 / $5,459.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.32 / $761.01 / $1,807.14
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$712.92 / $956.41 / $1,575.55
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,217.16 / $1,777.96 / $2,559.64
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,412.14 / $3,412.14 / $3,412.14
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,312.31 / $3,421.05 / $5,459.28
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,374.51 / $2,374.51 / $2,374.51
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,807.27 / $4,601.97 / $4,601.97
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
$783.31 / $1,491.94 / $3,221.17