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Wisconsin rates for HCPCS 61490

Craniotomy For Lobotomy, Including Cingulotomy

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,311.85 / $5,038.75 / $8,127.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,127.00 / $3,947.63 / $8,248.24
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,119.50 / $2,468.84 / $3,916.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,119.50 / $2,468.84 / $3,916.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,634.00 / $8,314.60 / $8,314.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $58.40 / $58.40
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,725.61 / $2,468.84 / $3,916.54
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,604.80 / $6,604.80 / $6,604.80
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,972.96 / $8,314.60 / $8,314.60