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Wisconsin rates for HCPCS 61651

Evasc Intracranial Prolng Admn Rx Agent Art Addl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.43 / $473.74 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,712.00 / $14,839.00 / $23,460.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.53 / $686.58 / $1,107.42
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.43 / $269.50 / $452.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.61 / $2,553.00 / $7,700.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.43 / $269.50 / $452.68
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.80 / $752.00 / $955.01
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,138.41 / $1,138.41 / $1,138.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,429.00 / $6,163.00 / $19,003.00