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Wisconsin rates for HCPCS 22101

Prtl Exc Pst Vrt Intrnsc B1y Les 1 Vrt Sgm Thrc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$824.77 / $1,772.62 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.99 / $897.30 / $3,862.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,169.00 / $8,408.00 / $14,586.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$801.38 / $1,903.31 / $5,040.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,221.26 / $2,595.71 / $3,981.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,266.55 / $3,537.66 / $4,020.06
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$787.83 / $1,085.54 / $1,822.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$824.77 / $1,693.83 / $15,090.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$907.29 / $1,624.28 / $6,395.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.47 / $546.27 / $1,730.04
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$787.83 / $1,019.72 / $1,822.74
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,777.10 / $2,165.33 / $3,232.41
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,132.00 / $17,132.00 / $17,132.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,592.41 / $4,040.50 / $6,395.04
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,703.64 / $2,703.64 / $2,703.64
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,676.90 / $5,042.30 / $5,416.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,154.00 / $11,891.00 / $15,090.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$907.29 / $1,616.20 / $3,676.86