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Wisconsin rates for HCPCS 88289

Chrmsm Analysis Addl High Resolution Study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.32 / $76.78 / $208.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $41.32 / $135.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.02 / $89.52 / $94.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.51 / $34.43 / $148.05
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.30 / $101.30 / $106.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.62 / $110.57 / $169.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.24 / $100.83 / $114.58
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.99 / $44.07 / $120.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.99 / $44.07 / $120.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $47.34 / $777.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.43 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.99 / $44.07 / $120.51
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.90 / $89.47 / $230.61
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.12 / $375.00 / $375.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.18 / $183.18 / $777.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.31 / $73.31 / $104.13
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.13 / $104.13 / $187.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.32 / $41.32 / $41.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $34.99 / $111.90