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Wisconsin rates for HCPCS 62267

Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.40 / $315.18 / $1,894.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.00 / $2,479.00 / $4,441.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$701.97 / $820.31 / $1,258.38
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.40 / $256.32 / $500.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.86 / $306.63 / $3,034.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.40 / $256.32 / $500.69
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.32 / $562.32 / $878.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$775.87 / $775.87 / $891.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,957.00 / $3,068.00 / $4,295.00