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Wisconsin rates for HCPCS 20938

Autograft Spine Surgery Bicort/Tricort Sep Inc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.83 / $349.00 / $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
$436.14 / $509.67 / $781.84
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.83 / $250.25 / $472.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.23 / $349.00 / $11,100.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.83 / $250.25 / $472.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.63 / $434.81 / $649.08
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
$83.11 / $83.11 / $83.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,241.00 / $9,837.00 / $12,062.00