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Wisconsin rates for HCPCS 61720

Crtj Les Strtctc Burr Globus Pallidus/Thalamus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,093.60 / $2,446.76 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,093.60 / $1,120.90 / $4,126.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $9,720.00 / $15,579.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,154.08 / $3,228.50 / $8,875.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,072.82 / $3,590.83 / $5,791.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,174.90 / $4,600.39 / $5,227.72
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,093.60 / $1,615.73 / $3,454.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,196.20 / $5,266.00 / $15,743.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,374.82 / $3,056.36 / $8,801.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.33 / $1,033.69 / $2,682.39
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,093.60 / $1,662.11 / $3,454.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,540.19 / $3,908.00 / $5,159.07
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,689.56 / $17,689.56 / $17,689.56
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,311.19 / $5,704.00 / $13,288.09
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,112.14 / $4,112.14 / $4,112.14
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,994.20 / $6,888.65 / $6,888.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,217.00 / $11,608.00 / $13,980.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,374.82 / $3,833.09 / $5,765.15