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Wisconsin rates for HCPCS 26415

Exc Xtnsr Tdn W/Impltj Synth Rod Dlyd Grf H/F Ea

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.48 / $1,738.76 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$799.66 / $866.52 / $3,785.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,344.00 / $10,517.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$768.54 / $1,823.06 / $5,246.65
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,462.54 / $3,462.54 / $3,462.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,252.80 / $2,632.58 / $4,038.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,218.61 / $3,563.43 / $4,276.29
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$815.61 / $1,048.14 / $1,788.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$824.25 / $1,468.26 / $11,100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.10 / $1,625.59 / $6,315.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.25 / $500.46 / $1,622.82
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$815.61 / $995.89 / $1,788.18
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,671.80 / $2,037.02 / $3,040.88
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,244.77 / $3,244.77 / $8,957.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,597.12 / $3,959.30 / $6,315.12
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,814.17 / $2,814.17 / $2,814.17
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,335.83 / $4,281.53 / $5,432.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,240.00 / $9,158.00 / $12,062.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.26 / $1,536.21 / $3,535.81