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Wisconsin rates for HCPCS 63091

Vcrpec Transprtl/Rpr Dcmprn Thrc Lmbr/Sac Ea Seg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.13 / $338.47 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.00 / $4,338.00 / $6,049.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$424.43 / $495.98 / $760.84
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.13 / $229.71 / $376.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.76 / $295.60 / $5,887.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.13 / $229.71 / $376.08
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.39 / $415.01 / $619.53
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,806.16 / $2,806.16 / $2,806.16
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$79.33 / $79.33 / $79.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,429.00 / $6,032.00 / $19,003.00