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Wisconsin rates for HCPCS 38102

Splenc Tot En Bloc Extnsv Ds Conjunct W/Oth Px

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.89 / $909.75 / $26,112.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,979.00 / $13,297.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$636.19 / $743.44 / $1,140.45
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.89 / $325.58 / $756.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.89 / $362.87 / $4,810.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.89 / $325.58 / $756.74
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.20 / $625.76 / $1,031.91
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.02 / $1,300.00 / $1,300.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,429.00 / $4,917.00 / $19,003.00