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Wisconsin rates for HCPCS 35390

Roprtj Crtd Teaec > 1 Mo After Original Opratio

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.88 / $298.55 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $10,196.00 / $17,436.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.46 / $431.74 / $696.39
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.96 / $232.86 / $630.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.89 / $2,553.00 / $7,700.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.96 / $232.86 / $630.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.89 / $467.72 / $604.35
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.00 / $1,300.00 / $1,300.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00