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Wisconsin rates for HCPCS 43645

Laps Gstr Rstcv Px W/Byp&Sm Int Rcnstj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,941.71 / $3,622.28 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,084.00 / $12,126.00 / $22,370.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,522.72 / $5,285.16 / $8,107.57
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,766.87 / $2,275.27 / $3,834.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,764.84 / $2,718.39 / $13,982.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,764.84 / $2,271.80 / $3,834.95
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,348.60 / $4,465.92 / $7,310.46
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,104.98 / $25,503.84 / $25,503.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,627.00 / $12,373.00 / $15,903.00