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Wisconsin rates for HCPCS 22859

Insj Biomchn Dev Ntrvrt Disc Space W/O Arthrd

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$304.05 / $636.57 / $14,482.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$793.89 / $927.72 / $1,423.15
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$304.05 / $425.67 / $702.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.43 / $617.50 / $1,778.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$304.05 / $425.67 / $702.38
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$654.15 / $797.54 / $1,190.58
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,313.28 / $5,313.28 / $5,313.28
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$152.44 / $152.44 / $152.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,034.00 / $1,423.00 / $2,202.90