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Wisconsin rates for HCPCS A2005

Miscellaneous M <46.50 And A <77.50., Without Comorbidities

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.55 / $154.55 / $154.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.91 / $154.55 / $221.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.80 / $551.78 / $1,243.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.38 / $216.38 / $445.35
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.41 / $198.02 / $523.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.91 / $194.35 / $523.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.57 / $254.57 / $534.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.41 / $194.35 / $523.78
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.25 / $600.24 / $893.72
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.55 / $505.72 / $1,392.99
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.38 / $1,128.20 / $1,351.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.57 / $254.57 / $330.94