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Wisconsin rates for HCPCS 61612

Transection Or Ligation, Carotid Artery In Petrous Canal, With Repair By Anastomosis Or Graft

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,049.63 / $4,732.32 / $7,633.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,055.02 / $5,450.38 / $6,433.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,607.00 / $11,725.87 / $11,725.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $55.00 / $70.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,109.92 / $6,109.92 / $6,109.92
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,108.75 / $11,725.87 / $11,725.87