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Wisconsin rates for HCPCS 62284

Injection procedure for myelography and/or computed tomography, lumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $380.19 / $1,905.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $177.83 / $398.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,584.89 / $1,584.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $190.55 / $446.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $588.84 / $933.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $323.59 / $758.58
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $199.53 / $2,818.38
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $288.40 / $549.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $213.80 / $1,445.44
Medica
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$74.13 / $74.13 / $74.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $575.44 / $1,548.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $112.20
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $269.15 / $588.84
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $2,951.21 / $2,951.21
Quartz
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$42.66 / $147.91 / $147.91
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $912.01 / $1,621.81
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $588.84 / $1,096.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,584.89 / $1,949.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $263.03 / $724.44