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Wisconsin rates for HCPCS 78473

Card Bl Pool Gated Mlt Stdy Wal Motn Eject Fract

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$102.82 / $102.82 / $143.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.71 / $404.37 / $1,703.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.88 / $425.13 / $1,473.08
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$179.32 / $203.78 / $321.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.44 / $942.63 / $1,071.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.61 / $698.78 / $2,216.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.80 / $160.84 / $426.83
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.55 / $766.38 / $1,305.70
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$319.44 / $319.44 / $319.44
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.02 / $1,416.70 / $2,216.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.09 / $1,679.67 / $1,679.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.93 / $676.58 / $1,516.25