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Wisconsin rates for HCPCS 22901

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Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$633.41 / $1,336.88 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,344.00 / $10,517.23
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,971.90 / $2,971.90 / $2,971.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,680.59 / $1,963.90 / $3,167.70
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$633.41 / $760.54 / $1,277.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$653.59 / $5,496.00 / $8,783.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$633.41 / $760.54 / $1,277.47
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,320.15 / $2,031.00 / $2,808.87
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,817.20 / $6,817.20 / $6,817.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,614.00 / $6,754.00 / $8,384.00