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Wisconsin rates for HCPCS 31634

Bronchoscopy Balloon Occlusion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.98 / $1,869.13 / $6,461.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,979.00 / $11,777.00 / $19,639.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,014.49 / $4,691.25 / $7,566.82
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.30 / $389.59 / $2,402.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.73 / $2,381.41 / $12,216.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.30 / $389.59 / $2,402.73
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.63 / $1,357.73 / $4,962.10
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,556.16 / $2,556.16 / $2,556.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,241.00 / $9,837.00 / $12,062.00