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Wisconsin rates for HCPCS 22110

Prtl Exc Vrt Bdy B1y Les W/O Spi Cord 1 Sgm Crv

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$993.17 / $3,721.92 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $8,006.00 / $18,294.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,648.39 / $3,094.86 / $4,747.59
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$993.17 / $1,357.20 / $2,194.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,001.20 / $1,760.12 / $14,246.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$993.17 / $1,296.09 / $2,194.91
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,104.05 / $2,563.69 / $3,827.11
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,600.18 / $13,600.18 / $13,600.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,627.00 / $12,373.00 / $15,090.00