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Wisconsin rates for HCPCS 22116

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.90 / $269.37 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,637.00 / $7,653.00 / $11,863.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.22 / $391.73 / $600.91
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.90 / $191.57 / $302.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.69 / $261.23 / $1,756.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.90 / $191.55 / $302.38
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.02 / $338.98 / $506.02
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.00 / $1,300.00 / $1,300.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,008.00 / $1,370.00 / $2,202.90