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Wisconsin rates for HCPCS 63087

Vcrpec Thoracolmbr Dcmprn Lwr Thrc/Lmbr 1 Seg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,099.46 / $4,699.72 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,499.00 / $16,401.00 / $25,162.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,875.30 / $6,865.76 / $10,532.25
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,099.46 / $3,080.00 / $4,725.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,099.46 / $3,149.19 / $6,235.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,099.46 / $2,939.24 / $4,725.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,785.30 / $5,830.70 / $8,704.09
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39,053.00 / $39,053.00 / $39,053.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,810.00 / $19,003.00