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Wisconsin rates for HCPCS 97546

Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure)

Facilitymedian $74 · 10th–90th $42$3020%10%10th90th$74Professionalmedian $55 · 10th–90th $41$1620%10%10th90th$55$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $51.29
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $48.98 / $63.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $52.48 / $173.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $138.04 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $77.62 / $199.53
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $51.29 / $120.23
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $60.26 / $302.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $63.10 / $426.58
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $50.12 / $70.79
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $123.03 / $158.49
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $147.91 / $213.80
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $151.36 / $426.58
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $316.23 / $426.58
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $158.49 / $162.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $87.10 / $173.78