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Wisconsin rates for HCPCS 61705

Arysm Vasc Malfrmj/Crtd-Occlusion Crtd Art

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,211.65 / $4,933.21 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,211.65 / $2,291.35 / $8,391.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,499.00 / $16,401.00 / $25,162.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,317.17 / $6,572.12 / $17,905.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,178.08 / $7,219.57 / $11,644.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,385.09 / $9,281.25 / $10,546.88
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,211.65 / $3,244.04 / $4,801.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,275.04 / $3,502.77 / $7,700.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,814.01 / $6,688.39 / $17,958.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.61 / $1,642.79 / $5,303.17
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,211.65 / $3,372.00 / $4,801.17
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,159.70 / $7,938.00 / $10,520.84
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,823.36 / $47,823.36 / $47,823.36
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,662.83 / $11,638.20 / $18,351.12
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,331.43 / $8,331.43 / $8,331.43
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,053.20 / $13,897.80 / $13,897.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,814.01 / $7,160.83 / $12,871.62