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Wisconsin rates for HCPCS 61735

Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; subcortical structure(s) other than globus pallidus or thalamus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $3,090.30 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,621.81 / $3,090.30
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
$1,445.44 / $2,818.38 / $7,585.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $4,466.84 / $7,244.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $5,888.44 / $6,606.93
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $6,918.31 / $13,489.63
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $3,715.35 / $4,570.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $3,388.44 / $7,943.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,630.27 / $12,589.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,995.26
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $3,981.07 / $6,309.57
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $21,877.62 / $21,877.62
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $7,079.46 / $12,589.25
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,128.61 / $5,128.61 / $5,128.61
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,897.79 / $8,709.64 / $10,232.93
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
$1,445.44 / $2,344.23 / $6,456.54