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Wisconsin rates for HCPCS 64629

Thermal Dstrj Intraosseous Bvn Ea Addl Lmbr/Sac

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.70 / $397.58 / $14,482.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.22 / $583.38 / $894.92
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.70 / $255.98 / $386.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.70 / $337.86 / $1,789.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.70 / $242.67 / $386.63
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.20 / $459.08 / $660.92
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$881.06 / $881.06 / $881.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,034.00 / $1,423.00 / $2,202.90