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Wisconsin rates for HCPCS 64628

Thermal Dstrj Intraosseous Bvn 1st 2 Lmbr/Sac

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.67 / $845.87 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,080.00 / $17,505.00 / $23,937.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,067.83 / $1,247.83 / $1,914.22
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.09 / $548.47 / $827.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.67 / $733.81 / $16,779.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.09 / $521.66 / $827.38
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$770.14 / $973.38 / $1,401.33
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,569.41 / $19,569.41 / $54,020.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,984.00 / $13,721.00 / $17,327.00