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Wisconsin rates for HCPCS 61867

Strtctc Impltj Nstim Eltrd W/Record 1st Array

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,943.13 / $4,337.18 / $17,823.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,499.00 / $16,401.00 / $25,162.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,436.46 / $6,352.93 / $10,247.04
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,927.64 / $2,515.84 / $4,144.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,943.13 / $3,075.31 / $7,700.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,927.64 / $2,515.84 / $4,144.43
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,528.55 / $6,967.00 / $9,226.74
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,503.72 / $31,503.72 / $31,503.72
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,054.68 / $1,054.68 / $1,054.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00