go back

Wisconsin rates for HCPCS 89264

Sprm Id From Tstis Tiss Frsh/Cryoprsrvd

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.83 / $299.83 / $300.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.83 / $299.83 / $345.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.00 / $108.00 / $164.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.80 / $279.05 / $428.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.45 / $136.81 / $636.95
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.32 / $299.83 / $315.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.62 / $299.83 / $315.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.14 / $50.14 / $50.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $85.00 / $3,000.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.32 / $299.83 / $315.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.14 / $50.14 / $50.14