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Wisconsin rates for HCPCS 66630

Irdec Crnlsclrl/Crnl Sctj Sector Glc Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$848.67 / $2,085.12 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.79 / $848.67 / $2,756.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.00 / $4,780.00 / $7,344.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.14 / $1,095.76 / $2,641.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,504.87 / $1,758.56 / $2,836.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$658.67 / $1,374.45 / $2,050.05
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$543.79 / $780.56 / $1,159.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$581.17 / $2,781.00 / $6,150.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.85 / $1,146.98 / $4,226.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.42 / $295.34 / $908.73
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$543.79 / $780.56 / $1,365.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,011.00 / $1,334.52 / $1,894.28
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,887.55 / $6,887.55 / $6,887.55
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$937.92 / $2,756.10 / $4,226.96
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,645.87 / $2,645.87 / $2,645.87
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,183.40 / $3,416.44 / $5,510.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,976.00 / $4,155.00 / $5,865.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.62 / $1,102.44 / $2,415.71