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Wisconsin rates for HCPCS 61800

Application of stereotactic headframe for stereotactic radiosurgery (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.12 / $280.85 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.00 / $2,479.00 / $4,441.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$353.24 / $412.79 / $665.81
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.12 / $166.07 / $268.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.30 / $1,124.00 / $2,043.20
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.12 / $166.07 / $268.36
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.80 / $452.00 / $624.95
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$684.26 / $684.26 / $684.26
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$68.43 / $68.43 / $68.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,034.00 / $1,423.00 / $2,202.90