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Wisconsin rates for HCPCS 22522

Percutaneous Vertebroplasty Ea Addl Thrc/Lmbr

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $645.65 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $436.52 / $758.58
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $363.08 / $724.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $363.08 / $724.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $3,090.30 / $3,090.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $58.88 / $58.88
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $6,309.57 / $6,309.57
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $3,090.30 / $3,090.30