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Wisconsin rates for HCPCS 26770

Cltx Iphal Jt Dislc W/Manj W/O Anes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.00 / $621.25 / $1,298.77
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$196.72 / $216.80 / $830.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.94 / $289.07 / $1,331.00
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
$269.27 / $605.29 / $1,583.68
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.44 / $319.44 / $319.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$791.18 / $924.56 / $1,418.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $795.77 / $1,362.31
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.03 / $331.33 / $626.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.03 / $407.31 / $1,449.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.60 / $617.29 / $2,222.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.53 / $147.84 / $586.27
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.03 / $331.33 / $626.03
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.86 / $727.85 / $1,086.53
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.92 / $264.92 / $1,265.57
Quartz
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$885.90 / $885.90 / $885.90
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.89 / $1,263.78 / $2,222.64
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$822.06 / $1,730.73 / $1,910.61
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
$291.60 / $563.24 / $1,223.72