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Wisconsin rates for HCPCS A4570

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Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.87 / $6.87 / $6.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.36 / $7.23 / $51.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.88 / $22.98 / $48.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.54 / $36.86 / $48.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.45 / $16.41 / $24.16
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.87 / $10.11 / $26.00
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.35 / $9.35 / $9.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.62 / $10.11 / $68.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.86 / $8.93 / $90.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.49 / $58.40 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.87 / $10.11 / $26.00
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.35 / $9.35 / $9.35
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.95 / $27.00 / $35.85
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.98 / $22.48 / $90.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.45 / $59.95 / $90.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.32 / $7.24 / $13.33