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Wisconsin rates for HCPCS 22554

Arthrd Ant Interbody Min Dsc Crv Below C2

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,175.45 / $2,479.09 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,080.00 / $17,505.00 / $23,937.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,855.59 / $20,855.59 / $20,855.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,117.88 / $3,643.48 / $5,589.20
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,175.45 / $1,763.18 / $2,846.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,193.93 / $2,491.94 / $15,090.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,175.45 / $1,763.18 / $2,846.38
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,506.40 / $3,053.95 / $4,558.95
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,444.03 / $18,444.03 / $50,913.65
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$4,825.89 / $4,825.89 / $4,825.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,154.00 / $11,891.00 / $15,090.00