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Wisconsin rates for HCPCS 62304

Myelography via lumbar injection, including radiological supervision and interpretation; lumbosacral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $1,905.46 / $18,620.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $234.42 / $512.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $3,090.30 / $5,754.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $239.88 / $616.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $794.33 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $457.09 / $1,047.13
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $251.19 / $3,162.28
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $398.11 / $741.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $275.42 / $3,311.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $537.03 / $1,862.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $380.19 / $794.33
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $776.25 / $776.25
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $537.03 / $1,778.28
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $831.76 / $1,479.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $2,818.38 / $4,677.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $331.13 / $933.25