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Wisconsin rates for HCPCS C2614

Probe, Perc Lumb Disc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.56 / $233.56 / $233.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.56 / $233.56 / $2,234.60
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.56 / $233.56 / $2,006.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.56 / $233.56 / $2,234.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,536.35 / $2,536.35 / $2,536.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.56 / $233.56 / $2,006.33
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
$2,536.35 / $2,536.35 / $2,536.35