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Wisconsin rates for HCPCS 63053

Lam Facetec/Foramot Drg Arthrd Lmbr Ea Addl Sgm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.84 / $437.27 / $14,482.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$546.08 / $638.14 / $978.92
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.84 / $247.90 / $424.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.84 / $310.98 / $1,789.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.84 / $243.77 / $424.37
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.17 / $542.69 / $781.29
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,658.06 / $3,658.06 / $3,658.06
Quartz
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$650.92 / $650.92 / $650.92
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$104.15 / $104.15 / $104.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,008.00 / $1,370.00 / $2,202.90