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Wisconsin rates for HCPCS E0372

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Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,190.16 / $2,190.16 / $2,190.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,276.85 / $2,090.91 / $2,681.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,239.80 / $2,463.78 / $4,076.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,892.14 / $2,083.01 / $2,754.95
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.90 / $479.32 / $479.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,576.44 / $7,618.56 / $12,018.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.51 / $2,910.00 / $3,637.50
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.58 / $1,989.95 / $3,285.24
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.77 / $431.47 / $431.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.98 / $2,190.16 / $9,481.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.13 / $376.23 / $2,901.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.22 / $58.40 / $1,731.92
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.98 / $2,062.98 / $3,285.24
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.77 / $431.47 / $431.47
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.37 / $422.80 / $549.88
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $4,685.76 / $9,481.87
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.51 / $192.51 / $1,472.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.13 / $358.11 / $2,334.26