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Wisconsin rates for HCPCS 38747

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Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.43 / $514.76 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,084.00 / $12,066.00 / $19,370.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$643.40 / $751.86 / $1,212.73
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.43 / $335.58 / $703.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.66 / $1,716.00 / $7,700.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.43 / $335.58 / $703.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.45 / $793.59 / $1,110.29
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,922.50 / $2,922.50 / $2,922.50
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$120.05 / $120.05 / $120.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00