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Wisconsin rates for HCPCS 61702

Surgery of simple intracranial aneurysm, intracranial approach; vertebrobasilar circulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $7,585.78 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,388.44 / $4,073.80 / $9,772.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,748.98 / $16,218.10 / $27,542.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.78 / $7,079.46 / $19,054.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $10,964.78 / $17,782.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,888.44 / $14,454.40 / $16,595.87
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $7,244.36 / $13,489.63
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,606.93 / $9,120.11 / $11,481.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $4,265.80 / $8,511.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,890.45 / $6,760.83 / $28,183.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $5,128.61
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,011.87 / $9,549.93 / $15,848.93
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $72,443.60 / $72,443.60
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,760.83 / $18,197.01 / $28,183.83
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,882.50 / $12,882.50 / $12,882.50
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,302.69 / $21,379.62 / $25,703.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $6,165.95 / $19,498.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.78 / $5,754.40 / $16,218.10