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Wisconsin rates for HCPCS 63057

Transpedicular Dcmprn 1 Seg Ea Thoracic/Lumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.20 / $1,085.95 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,159.00 / $11,302.00 / $14,586.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$759.64 / $887.70 / $1,361.76
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.20 / $411.32 / $669.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.61 / $521.49 / $1,778.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.20 / $411.32 / $669.36
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$629.46 / $767.45 / $1,145.65
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,117.28 / $5,117.28 / $5,117.28
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$146.69 / $146.69 / $146.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,034.00 / $1,423.00 / $2,202.90