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Wisconsin rates for HCPCS 63267

Lam Exc/Evac Ispi Lesion Oth/Thn Neo Xdrl Lumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,199.03 / $8,466.00 / $21,801.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,692.00 / $13,743.77 / $21,606.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,369.29 / $3,937.28 / $6,039.89
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,199.03 / $1,797.10 / $2,837.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,199.03 / $2,333.23 / $8,384.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,199.03 / $1,786.65 / $2,837.65
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,728.70 / $3,324.82 / $4,963.30
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,334.21 / $14,334.21 / $14,334.21
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$635.50 / $635.50 / $635.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.00 / $6,477.00 / $8,384.00