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Wisconsin rates for HCPCS 61613

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Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,819.49 / $6,235.00 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,819.49 / $2,909.54 / $10,684.60
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
$2,994.23 / $8,365.00 / $22,738.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,873.99 / $9,201.37 / $14,841.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,542.22 / $11,786.35 / $13,393.58
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,819.49 / $4,191.92 / $5,957.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,771.11 / $4,191.92 / $7,700.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,573.56 / $8,184.68 / $22,886.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.66 / $2,062.61 / $6,573.08
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,819.49 / $4,191.92 / $5,957.89
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,474.65 / $9,961.00 / $13,326.70
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60,413.12 / $60,413.12 / $60,413.12
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,921.39 / $14,831.70 / $23,209.12
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,672.12 / $10,672.12 / $10,672.12
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,178.29 / $17,648.99 / $17,648.99
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
$3,559.61 / $9,093.18 / $14,990.70