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Wisconsin rates for HCPCS 25073

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Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$522.45 / $1,105.27 / $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
$1,395.83 / $1,631.14 / $2,502.21
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$522.45 / $713.55 / $1,154.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$522.45 / $1,090.36 / $8,103.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$522.45 / $713.55 / $1,154.60
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,073.15 / $1,307.58 / $1,951.98
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,469.60 / $2,469.60 / $6,817.20
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$646.16 / $646.16 / $646.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.00 / $6,477.00 / $8,384.00