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Wisconsin rates for HCPCS 0398T

Magnetic resonance image guided high intensity focused ultrasound (MRgFUS), stereotactic ablation lesion, intracranial for movement disorder including stereotactic navigation and frame placement when performed

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,080.00 / $16,979.00 / $28,532.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,658.55 / $4,275.30 / $6,895.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,568.18 / $2,467.84 / $2,804.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,162.39 / $16,162.39 / $16,162.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $58.40 / $58.40
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,344.79 / $5,633.11 / $5,633.11
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,359.75 / $7,359.75 / $7,359.75
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,493.80 / $6,954.25 / $16,162.39