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Wisconsin rates for HCPCS 61590

Infratemporal Mid Cranial Fossa W/Wo Disarticltn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,751.19 / $6,042.04 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,499.00 / $16,401.00 / $25,162.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,677.54 / $8,971.82 / $14,471.22
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,751.19 / $3,879.41 / $5,880.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,627.37 / $4,065.92 / $7,700.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,751.19 / $3,879.41 / $5,880.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,879.25 / $9,078.46 / $12,911.30
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42,198.36 / $42,198.36 / $42,198.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00