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Wisconsin rates for HCPCS J0567

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Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.22 / $112.54 / $248.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.54 / $112.54 / $140.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.67 / $258.77 / $268.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.24 / $117.24 / $119.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.40 / $133.22 / $243.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.50 / $123.96 / $145.50
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.54 / $139.02 / $139.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.22 / $139.02 / $139.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.24 / $117.24 / $152.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $85.00 / $339.84
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.54 / $139.02 / $139.02
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.86 / $498.86 / $498.86
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.58 / $119.58 / $119.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.24 / $117.24 / $152.41