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Wisconsin rates for HCPCS 0515T

Insertion Wrls Car Stimulator Lv Pacg Compl Sys

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.77 / $8,243.00 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.77 / $472.60 / $799.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,123.00 / $18,187.00 / $24,019.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.27 / $1,156.72 / $2,971.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,257.96 / $1,470.03 / $2,371.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.77 / $672.94 / $861.30
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.77 / $488.87 / $955.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.87 / $19,622.59 / $34,485.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.49 / $1,555.84 / $2,660.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $1,781.64
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.77 / $488.87 / $955.52
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.20 / $1,228.16 / $1,712.70
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87,953.00 / $87,953.00 / $87,953.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,130.89 / $3,788.88 / $3,788.88
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,411.23 / $2,411.23 / $2,411.23
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,924.16 / $3,351.00 / $3,351.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,528.00 / $21,823.00 / $27,528.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.67 / $1,443.23 / $2,323.53