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Wisconsin rates for HCPCS 28476

Prq Skel Fixj Metar Fx W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.42 / $1,467.54 / $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
$1,050.71 / $1,227.83 / $1,883.53
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.00 / $502.40 / $914.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.06 / $690.44 / $8,296.28
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.00 / $502.40 / $914.93
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$782.60 / $953.57 / $1,380.24
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