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Wisconsin rates for HCPCS 63102

Verteb Corpect Lat Xtrcavitary Dcmprn Lmbr 1 Seg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,994.23 / $4,463.14 / $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
$5,581.54 / $6,522.47 / $10,005.62
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,994.23 / $2,971.40 / $4,463.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,994.23 / $3,086.24 / $6,235.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,994.23 / $2,971.40 / $4,463.14
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,542.20 / $5,534.50 / $8,261.91
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,769.27 / $23,769.27 / $23,769.27
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,057.84 / $1,057.84 / $1,057.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,429.00 / $6,032.00 / $19,003.00