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Wisconsin rates for HCPCS 61697

Complx Intracranial Arysm Carotid Circulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,572.35 / $7,948.64 / $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
$9,952.87 / $11,630.72 / $18,759.93
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,572.35 / $4,665.38 / $7,595.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,803.00 / $4,353.93 / $7,868.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,572.35 / $4,665.38 / $7,595.37
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,331.04 / $12,817.00 / $16,979.83
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77,299.36 / $77,299.36 / $77,299.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00