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Wisconsin rates for HCPCS 20663

Application Halo Femoral Including Removal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$469.47 / $998.03 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.64 / $489.67 / $2,155.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,344.00 / $10,517.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.29 / $1,056.26 / $2,743.17
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,462.54 / $3,462.54 / $3,462.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,266.97 / $1,480.56 / $2,271.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$708.88 / $1,931.40 / $2,194.78
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$443.57 / $567.77 / $998.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$443.57 / $939.41 / $11,100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.18 / $906.31 / $3,591.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.84 / $289.92 / $937.90
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$443.57 / $553.73 / $998.03
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$963.95 / $1,174.54 / $1,753.35
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,244.77 / $3,244.77 / $8,957.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.63 / $2,254.50 / $3,591.28
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,542.66 / $1,542.66 / $1,542.66
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.08 / $2,354.57 / $3,073.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,241.00 / $9,837.00 / $12,062.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.15 / $874.75 / $2,051.60