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Wisconsin rates for HCPCS A2008

Theragenesis, per sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.38 / $142.38 / $142.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.38 / $142.38 / $151.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.79 / $218.20 / $460.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.27 / $151.27 / $151.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.27 / $151.27 / $151.27
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.38 / $147.72 / $199.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.38 / $147.72 / $212.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.79 / $161.79 / $339.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.38 / $147.72 / $199.33
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.48 / $214.42 / $315.70
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.27 / $169.07 / $667.39
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.27 / $188.65 / $676.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.79 / $161.79 / $210.33