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Wisconsin rates for HCPCS 22318

Optx&/Rdctj Odntd Fx&/Dislc Ant Fixj W/O Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,511.80 / $3,185.98 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,169.00 / $7,532.89 / $17,296.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,011.79 / $4,688.09 / $7,191.65
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,511.80 / $2,247.65 / $3,539.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,511.80 / $3,114.64 / $14,246.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,511.80 / $2,231.10 / $3,539.98
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,285.75 / $4,003.56 / $5,976.53
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,063.90 / $21,063.90 / $21,063.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,154.00 / $11,891.00 / $15,090.00