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Wisconsin rates for HCPCS A4570

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Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $6.03 / $6.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $8.91 / $29.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $18.62 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $37.15 / $58.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $16.60 / $24.55
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $9.55 / $21.38
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $38.02 / $52.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $10.23 / $69.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $7.59 / $89.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $50.12 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $26.92 / $38.90
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $21.88 / $89.13
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $60.26 / $93.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $7.24 / $13.18