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Wisconsin rates for HCPCS 26776

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Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.74 / $1,688.53 / $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
$3,462.54 / $3,462.54 / $3,462.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,207.50 / $1,411.06 / $2,164.60
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.66 / $538.98 / $1,052.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.66 / $874.89 / $8,296.28
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.66 / $538.98 / $1,052.70
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$910.00 / $1,108.80 / $1,655.22
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,244.77 / $3,244.77 / $8,957.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.00 / $6,477.00 / $8,384.00