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Wisconsin rates for HCPCS 22804

Arthrodesis Posterior Spinal Dfrm 13+ Vrt Sgm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,278.08 / $4,769.42 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,499.00 / $16,401.00 / $37,855.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,001.46 / $7,013.18 / $10,758.40
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,278.08 / $3,391.58 / $5,034.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.14 / $4,658.13 / $16,976.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,278.08 / $3,329.18 / $5,034.56
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,765.80 / $5,806.94 / $8,668.62
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39,376.54 / $39,376.54 / $39,376.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,650.00 / $14,566.00 / $19,562.00