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Wisconsin rates for HCPCS 37722

Ligj Divj&Strip Long Saph Saphfem Junct Kne/Belw

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$551.62 / $1,568.83 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,169.00 / $8,408.00 / $12,444.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,108.38 / $1,295.23 / $2,089.16
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$430.35 / $689.60 / $979.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$495.38 / $7,081.00 / $12,216.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$430.35 / $689.60 / $979.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$882.70 / $1,363.02 / $1,795.93
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,011.04 / $9,011.04 / $9,011.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,241.00 / $9,837.00 / $12,062.00