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Wisconsin rates for HCPCS 00104

Anesthesia Electroconvulsive Therapy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$432.02 / $915.30 / $1,281.42
Cigna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$581.79 / $581.79 / $661.13