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Wisconsin rates for HCPCS 22802

Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $4,168.69 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,748.98 / $15,488.17 / $26,302.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.07 / $6,165.95 / $9,772.37
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $4,168.69 / $10,000.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $4,365.16 / $19,498.45
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $4,677.35 / $7,079.46
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.07 / $33,113.11 / $33,113.11
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$524.81 / $524.81 / $3,311.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,709.64 / $16,982.44 / $22,387.21