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Wisconsin rates for HCPCS 61790

Create Lesion Strtctc Prq Neurolytic Gasserian

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$766.98 / $1,720.35 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.00 / $4,780.00 / $7,344.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,161.79 / $2,526.21 / $4,074.70
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$766.98 / $1,123.77 / $1,852.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$841.06 / $4,103.00 / $8,384.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$766.98 / $1,123.77 / $1,852.60
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,770.60 / $2,724.00 / $3,583.40
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,189.00 / $7,189.00 / $7,189.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,103.00 / $7,280.00 / $9,134.00