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Wisconsin rates for HCPCS 28576

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Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.10 / $817.81 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.74 / $395.53 / $1,766.88
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
$375.25 / $877.16 / $2,305.10
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
$1,032.68 / $1,206.77 / $1,851.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.39 / $1,526.59 / $1,786.64
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.10 / $525.35 / $817.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.10 / $778.34 / $8,384.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.04 / $825.21 / $3,648.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.65 / $250.64 / $804.12
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.10 / $489.31 / $817.81
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$789.75 / $962.28 / $1,436.49
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,213.88 / $7,213.88 / $19,913.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.58 / $1,848.20 / $3,648.58
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,240.43 / $1,240.43 / $1,240.43
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,146.44 / $1,943.41 / $2,502.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,103.00 / $6,477.00 / $8,384.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.04 / $775.62 / $1,650.52