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Wisconsin rates for HCPCS 22861

Revj W/Rplcmt Tot Disc Arthrp Ant 1 Ntrspc Crv

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,095.81 / $4,411.47 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,058.42 / $2,285.89 / $9,922.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,499.00 / $16,401.00 / $37,855.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,060.92 / $4,826.35 / $12,941.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,527.47 / $6,459.29 / $9,908.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,117.19 / $8,891.40 / $10,116.37
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,095.81 / $2,885.29 / $4,633.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,136.76 / $4,298.04 / $17,940.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,333.50 / $4,027.11 / $16,382.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.71 / $1,341.04 / $4,348.18
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,095.81 / $2,885.29 / $4,633.78
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,603.30 / $5,608.94 / $8,373.04
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,342.50 / $29,342.50 / $29,342.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,887.06 / $10,379.15 / $16,382.64
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,941.51 / $6,941.51 / $6,941.51
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,626.42 / $12,872.66 / $13,631.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,452.00 / $17,119.00 / $22,229.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,319.25 / $4,027.11 / $9,133.65