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Wisconsin rates for HCPCS 61700

Simple Intracranial Arysm Carotid Circulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,882.69 / $6,446.50 / $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
$8,077.64 / $9,439.36 / $15,225.35
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,882.69 / $4,329.14 / $6,159.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,803.00 / $4,337.31 / $7,700.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,882.69 / $4,329.14 / $6,159.99
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,742.45 / $10,373.00 / $13,758.89
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62,582.08 / $62,582.08 / $62,582.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00