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Wisconsin rates for HCPCS 61618

Secondary Rpr Dura Csf Leak Free Tissue Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,128.60 / $2,520.52 / $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
$3,162.03 / $3,695.08 / $5,960.04
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,128.60 / $1,663.02 / $2,463.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,232.25 / $2,519.85 / $7,700.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,128.60 / $1,663.02 / $2,463.51
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,564.25 / $3,945.00 / $5,310.28
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,910.00 / $17,910.00 / $17,910.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00