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Wisconsin rates for HCPCS J7330

Autologous Cultured Chondrocytes Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63,189.10 / $66,980.80 / $140,912.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66,980.80 / $66,980.80 / $83,726.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59,025.25 / $68,596.91 / $71,149.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67,138.44 / $69,772.00 / $69,772.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,095.33 / $78,171.42 / $111,740.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32,808.37 / $33,792.62 / $71,167.10
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,797.35 / $66,980.80 / $78,986.39
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,887.54 / $14,887.54 / $14,887.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,797.35 / $63,189.12 / $78,986.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65,822.00 / $65,822.00 / $85,568.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $65.00 / $164,130.45
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,797.35 / $66,980.80 / $78,986.39
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,887.54 / $14,887.54 / $14,887.54
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$272,992.50 / $272,992.50 / $272,992.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71,167.10 / $71,167.10 / $71,167.10
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31,028.40 / $31,028.40 / $56,731.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69,772.00 / $69,772.00 / $83,726.39