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Wisconsin rates for HCPCS 39561

Rescj Diaphragm W/Complex Repair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,128.53 / $2,478.73 / $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
$3,102.56 / $3,625.58 / $5,847.94
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,128.53 / $1,321.99 / $2,419.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,132.16 / $2,550.16 / $7,700.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,128.53 / $1,321.99 / $2,419.89
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,458.94 / $3,783.00 / $5,184.05
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,783.43 / $18,783.43 / $18,783.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,429.00 / $6,163.00 / $19,003.00