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Wisconsin rates for HCPCS 61586

Bicoronal Transzygmtc&/Lefort I W/O Bone Grft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,231.71 / $4,889.89 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,195.58 / $2,231.71 / $8,168.67
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
$2,243.66 / $6,393.17 / $17,894.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,282.61 / $7,341.73 / $11,841.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,346.57 / $9,302.00 / $10,570.45
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,173.29 / $2,781.81 / $4,672.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,195.58 / $3,478.50 / $7,700.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.66 / $5,650.58 / $17,438.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.82 / $1,594.21 / $5,093.48
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,173.29 / $2,781.81 / $4,672.57
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,964.05 / $7,637.00 / $9,957.25
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,198.76 / $35,198.76 / $35,198.76
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,673.27 / $11,301.15 / $18,091.28
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,486.86 / $8,486.86 / $8,486.86
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,982.49 / $13,928.87 / $13,928.87
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
$2,478.85 / $6,847.57 / $11,299.36