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Wisconsin rates for HCPCS 47350

Mgmt Lvr Hemrrg Smpl Sutr Lvr Wnd/Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,448.20 / $2,687.53 / $14,482.00
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
$3,374.69 / $3,943.60 / $6,049.58
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.00 / $1,614.37 / $2,619.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.00 / $1,785.00 / $4,821.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,252.28 / $1,614.37 / $2,619.54
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,460.60 / $3,281.62 / $5,440.39
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,549.57 / $22,027.04 / $22,027.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $6,032.00 / $19,003.00