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Wisconsin rates for HCPCS 28475

Cltx Metar Fx W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.81 / $489.42 / $1,894.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $257.04 / $878.79
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
$250.47 / $525.70 / $1,384.88
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.44 / $319.44 / $319.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.88 / $831.89 / $1,276.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.23 / $831.68 / $1,227.65
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.81 / $316.85 / $556.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.98 / $366.82 / $1,449.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.23 / $572.84 / $1,993.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.75 / $186.31 / $526.34
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.81 / $310.54 / $556.97
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.63 / $642.30 / $920.97
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.92 / $264.92 / $1,108.28
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.05 / $1,137.24 / $1,993.52
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$729.34 / $1,511.22 / $1,719.32
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
$279.27 / $534.40 / $1,143.08