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Wisconsin rates for HCPCS P9020

Platelet Rich Plasma Each Unit (Special Coverage Instructions Apply. See Mcm: 2455 B)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.71 / $242.71 / $242.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.71 / $242.71 / $311.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.21 / $141.22 / $500.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.39 / $263.39 / $263.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.04 / $116.04 / $116.04
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.71 / $242.71 / $321.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.71 / $242.71 / $339.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.20 / $290.20 / $290.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $1,319.51
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.71 / $242.71 / $321.54
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.04 / $116.04 / $116.04