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Wisconsin rates for HCPCS 20937

Autograft Spine Surgery Morselized Sep Incision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.83 / $321.93 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,749.00 / $5,749.00 / $6,159.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$401.00 / $468.60 / $718.84
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.83 / $230.75 / $430.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.05 / $321.93 / $11,100.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.83 / $230.75 / $430.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.10 / $397.58 / $593.51
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.00 / $1,300.00 / $1,300.00
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$75.98 / $75.98 / $75.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,241.00 / $9,837.00 / $12,062.00