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Wisconsin rates for HCPCS 61558

Xtn Craniect Multiple Suture Craniosynostosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,612.40 / $3,604.21 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,563.19 / $1,646.08 / $5,137.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,499.00 / $16,401.00 / $25,162.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,704.94 / $4,544.72 / $13,077.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,523.62 / $5,286.21 / $8,526.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,203.73 / $6,778.63 / $7,702.99
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,612.40 / $2,386.92 / $3,532.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,716.00 / $3,364.00 / $7,700.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,964.95 / $4,212.85 / $13,001.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.57 / $1,187.90 / $3,818.19
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,612.40 / $2,386.92 / $3,532.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,749.20 / $5,768.00 / $7,616.20
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,107.32 / $26,107.32 / $26,107.32
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,405.54 / $8,425.70 / $15,979.56
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,064.69 / $6,064.69 / $6,064.69
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,883.67 / $10,150.39 / $10,150.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,957.50 / $4,168.54 / $8,516.02