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Wisconsin rates for HCPCS 23552

Optx Acromclav Dislc Acute/Chronic W/Fascial Grf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$633.32 / $1,334.74 / $20,882.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,287.00 / $13,743.77 / $21,606.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,001.70 / $10,001.70 / $10,001.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,695.91 / $1,981.80 / $3,040.14
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$633.32 / $925.89 / $1,483.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$633.32 / $1,316.25 / $15,090.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$633.32 / $925.89 / $1,483.05
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,289.59 / $1,571.33 / $2,345.67
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,515.54 / $9,515.54 / $26,267.10
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$2,489.75 / $2,489.75 / $2,489.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,154.00 / $11,891.00 / $15,090.00