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Wisconsin rates for HCPCS 33264

Rmvl Impltbl Dfb Pls Gen W/Rplcmt Pls Gen Mlt Ld

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $1,399.81 / $17,823.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,123.00 / $18,187.00 / $24,019.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$990.33 / $1,157.28 / $1,866.65
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.99 / $536.37 / $766.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.19 / $23,474.00 / $81,979.61
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.99 / $536.37 / $766.97
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.10 / $1,198.42 / $1,593.41
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142,675.35 / $142,675.35 / $142,675.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,528.00 / $24,111.00 / $80,121.00