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Wisconsin rates for HCPCS 22632

Arthrodesis Posterior Interbody 1 Ntrspc Ea Addl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.60 / $605.75 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,080.00 / $17,505.00 / $23,937.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.04 / $883.49 / $1,355.30
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.60 / $434.40 / $739.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.75 / $587.34 / $1,756.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.60 / $430.75 / $739.25
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.21 / $763.49 / $1,139.74
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,110.56 / $5,110.56 / $5,110.56
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$145.93 / $145.93 / $145.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,008.00 / $1,370.00 / $2,202.90