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Wisconsin rates for HCPCS 44625

Clsr Ntrstm Lg/Sm Rescj & Anast Oth/Thn Clrct

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,079.61 / $3,579.45 / $18,334.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,979.00 / $13,297.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,521.33 / $2,946.38 / $4,519.82
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$112.52 / $112.52 / $112.52
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$971.13 / $1,279.35 / $2,197.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$971.13 / $1,489.50 / $4,821.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$458.54 / $458.54 / $458.54
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$971.13 / $1,263.16 / $2,178.62
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,817.40 / $2,423.81 / $4,065.70
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,147.16 / $9,334.71 / $9,334.71
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$112.52 / $458.54 / $458.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $6,032.00 / $19,003.00