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Wisconsin rates for HCPCS 63295

Osteoplastic reconstruction of dorsal spinal elements, following primary intraspinal procedure (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $616.60 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,748.98 / $16,218.10 / $27,542.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $891.25 / $1,412.54
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $602.56 / $10,471.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $616.60 / $7,585.78
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $724.44 / $1,071.52
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,995.26 / $1,995.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $6,165.95 / $19,498.45