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Wisconsin rates for HCPCS 61630

Balloon Angioplasty Intracranial Percutaneous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,187.60 / $2,632.16 / $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
$3,298.10 / $3,854.09 / $6,216.51
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,187.60 / $1,497.41 / $2,515.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,286.83 / $2,678.00 / $7,700.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,187.60 / $1,497.41 / $2,515.17
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,673.45 / $4,113.00 / $5,669.84
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,204.11 / $17,204.11 / $17,204.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00