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Wisconsin rates for HCPCS 63103

Vcrpec Lat Xtrcavitary Dcmprn Thrc/Lmbr Ea Seg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.84 / $557.84 / $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
$697.47 / $815.05 / $1,250.30
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.84 / $375.24 / $618.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.84 / $404.06 / $5,887.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.84 / $371.90 / $618.57
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$571.65 / $696.96 / $1,040.42
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,678.93 / $4,678.93 / $4,678.93
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$133.22 / $133.22 / $133.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,810.00 / $19,003.00