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Wisconsin rates for HCPCS 63030

Lamnotmy Incl W/Dcmprsn Nrv Root 1 Intrspc Lumbr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,816.54 / $13,176.10 / $24,715.74
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$22,149.30 / $27,570.20 / $35,312.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,878.00 / $14,586.00 / $21,869.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$876.60 / $1,051.92 / $1,341.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.65 / $2,676.80 / $4,106.28
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$808.63 / $1,212.95 / $2,712.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$862.69 / $1,785.23 / $15,090.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$808.63 / $1,212.95 / $2,712.96
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,823.90 / $2,222.35 / $3,317.53
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,213.88 / $7,213.88 / $19,913.50
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,887.52 / $1,887.52 / $1,887.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,627.00 / $12,373.00 / $15,090.00