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Wisconsin rates for HCPCS 22858

Total Disc Arthrp Ant 2nd Level Cervical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.88 / $1,729.51 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,738.00 / $18,187.00 / $23,460.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,210.20 / $1,414.22 / $2,169.44
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.88 / $649.42 / $1,072.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.56 / $941.98 / $1,789.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.88 / $649.42 / $1,072.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$989.34 / $1,206.22 / $1,800.64
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,074.08 / $8,074.08 / $8,074.08
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$230.56 / $230.56 / $230.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,008.00 / $1,370.00 / $2,202.90