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Wisconsin rates for HCPCS 45990

Anrct Xm Surg Req Anes General Spi/Edrl Dx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.48 / $3,119.00 / $9,402.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.00 / $4,931.00 / $7,344.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.63 / $312.75 / $479.77
Cigna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$94.25 / $94.25 / $94.25
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.98 / $131.35 / $234.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.98 / $155.08 / $4,821.00
Medica
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$6,012.68 / $6,012.68 / $6,012.68
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.05 / $131.35 / $237.20
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.00 / $256.06 / $429.74
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.00 / $7,929.30 / $7,929.30
Quartz
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$94.25 / $6,012.68 / $6,012.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,976.00 / $3,827.00 / $5,471.00