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Wisconsin rates for HCPCS 63055

Transpedicular Dcmprn Spinal Cord 1 Seg Thoracic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,406.11 / $3,138.12 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,878.00 / $14,586.00 / $21,869.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,940.60 / $4,604.89 / $7,064.03
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,406.11 / $2,109.17 / $3,399.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,406.11 / $2,781.58 / $15,090.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,406.11 / $2,095.10 / $3,399.68
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,223.35 / $3,927.53 / $5,863.03
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,213.88 / $7,213.88 / $20,662.07
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
$6,154.00 / $11,891.00 / $15,090.00