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Wisconsin rates for HCPCS 42426

Exc Prtd Tum/Prtd Glnd Tot W/Uni Rad Nck Dsj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,481.25 / $2,745.29 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $10,908.00 / $18,360.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.51 / $4,052.06 / $6,215.96
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,325.29 / $1,740.85 / $3,050.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,291.13 / $1,941.72 / $7,318.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,291.13 / $1,735.32 / $3,080.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,442.00 / $3,256.81 / $5,570.42
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,536.49 / $17,359.21 / $17,359.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.00 / $7,280.00 / $8,384.00