go back

Wisconsin rates for HCPCS 61796

Stereotactic Radiosurgery 1 Simple Cranial Les

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$877.51 / $1,968.59 / $3,508.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$877.51 / $1,030.38 / $4,389.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.00 / $4,780.00 / $11,302.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$922.43 / $2,567.84 / $7,130.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,470.87 / $2,887.41 / $4,657.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,749.85 / $3,695.74 / $4,199.70
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$877.51 / $1,119.91 / $1,881.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$962.42 / $8,627.00 / $16,779.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,055.26 / $2,280.33 / $6,207.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.55 / $652.99 / $2,101.95
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$877.51 / $1,119.91 / $1,881.10
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,038.40 / $3,136.00 / $4,124.04
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,455.12 / $9,455.12 / $9,455.12
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$474.74 / $474.74 / $474.74
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,856.71 / $5,158.50 / $7,269.60
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,213.62 / $5,534.01 / $5,534.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,984.00 / $12,373.00 / $15,090.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.56 / $2,801.33 / $5,043.99