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Wisconsin rates for HCPCS 20664

Application of halo, including removal, cranial, 6 or more pins placed, for thin skull osteology (eg, pediatric patients, hydrocephalus, osteogenesis imperfecta)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,737.80 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $912.01 / $2,187.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $4,786.30 / $7,585.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,698.24 / $4,073.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $2,570.40 / $4,168.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $3,467.37 / $3,981.07
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,659.59 / $5,495.41
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,041.74 / $2,630.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,737.80 / $5,248.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,445.44 / $6,456.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $2,238.72 / $3,235.94
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $6,165.95 / $6,165.95
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $3,981.07 / $6,309.57
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $4,570.88 / $5,370.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $3,801.89 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,230.27 / $3,388.44