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Wisconsin rates for HCPCS 22310

Cltx Vrt Bdy Fx W/O Manj Req&W/Csting/Bracing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$290.26 / $615.11 / $1,894.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$217.70 / $228.24 / $861.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.18 / $304.32 / $1,148.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.00 / $2,479.00 / $4,441.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.42 / $669.83 / $1,780.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.44 / $319.44 / $319.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.82 / $960.36 / $1,473.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.44 / $910.73 / $1,476.74
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$290.26 / $401.80 / $672.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$290.26 / $452.27 / $1,449.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.58 / $660.56 / $2,321.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.65 / $193.25 / $602.24
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$290.26 / $386.14 / $672.55
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.00 / $768.19 / $1,135.01
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.92 / $264.92 / $1,412.48
Quartz
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$972.78 / $972.78 / $972.78
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.41 / $1,384.20 / $2,321.92
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$907.31 / $1,896.57 / $1,989.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,034.00 / $1,423.00 / $2,202.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.58 / $603.89 / $1,309.49