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Wisconsin rates for HCPCS 65870

Severing Ads Ant Seg Incal Spx Ant Synechiae

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$892.37 / $2,185.48 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.00 / $4,780.00 / $7,344.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,579.66 / $1,845.96 / $2,977.47
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$545.01 / $809.94 / $1,216.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$605.54 / $4,103.00 / $8,384.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$545.01 / $809.94 / $1,302.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,059.59 / $1,398.67 / $1,985.34
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,887.55 / $6,887.55 / $6,887.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.00 / $6,477.00 / $8,384.00