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Wisconsin rates for HCPCS 63268

Lam Exc/Evac Ispi Les Oth/Thn Neo Xdrl Sacral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,224.89 / $2,819.86 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,870.00 / $16,083.00 / $22,519.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,543.20 / $4,140.51 / $6,351.65
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,224.89 / $1,827.65 / $2,941.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,253.27 / $2,326.30 / $15,090.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,224.89 / $1,827.65 / $2,941.17
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,923.05 / $3,561.62 / $5,316.80
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,270.66 / $15,270.66 / $15,270.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,627.00 / $12,373.00 / $15,090.00