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Wisconsin rates for HCPCS 42894

Rescj Phrngl Wall Clsr W/Flp Or Flp W/Mvasc Anas

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,614.06 / $4,801.85 / $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
$6,128.52 / $7,161.66 / $10,986.17
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,204.51 / $2,731.72 / $4,588.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,169.16 / $3,006.55 / $5,893.08
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,134.16 / $2,707.83 / $4,588.43
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,239.00 / $5,653.41 / $9,775.23
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,649.47 / $22,054.88 / $22,054.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $6,032.00 / $19,003.00