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Wisconsin rates for HCPCS C1734

Orthopedic/device/drug matrix for opposing bone-to-bone or soft tissue-to bone (implantable)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$798.00 / $2,481.86 / $8,102.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,835.50 / $5,160.84 / $15,620.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,467.91 / $3,467.91 / $3,467.91
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,160.84 / $5,160.84 / $5,160.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $5,160.84 / $5,160.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,160.84 / $5,160.84 / $5,160.84
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,900.00 / $5,900.00 / $5,900.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $65.00 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,467.91 / $3,467.91 / $3,467.91