go back

Wisconsin rates for HCPCS 51792

Stimulus Evoked Response

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.50 / $282.12 / $522.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.88 / $444.07 / $1,288.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.70 / $868.96 / $987.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.66 / $690.03 / $2,021.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.23 / $194.93 / $504.73
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.23 / $597.12 / $859.65
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.45 / $1,203.25 / $2,021.28
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.23 / $1,445.76 / $1,643.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.66 / $527.02 / $1,054.65