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Wisconsin rates for HCPCS 26341

Maniplatn Palar Fascial Crd Post Inj Single Cord

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.58 / $243.52 / $1,894.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.58 / $117.47 / $430.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.00 / $2,479.00 / $4,441.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.99 / $176.73 / $449.95
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.69 / $180.69 / $180.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.39 / $368.56 / $565.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.31 / $293.70 / $572.46
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.98 / $123.57 / $244.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.70 / $154.82 / $1,449.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.57 / $225.04 / $621.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.91 / $108.23 / $250.69
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.98 / $123.57 / $244.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.26 / $271.41 / $400.22
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.49 / $165.49 / $361.81
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.69 / $500.27 / $873.20
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.22 / $500.58 / $756.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,008.00 / $1,370.00 / $2,202.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.36 / $224.50 / $461.99