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Wisconsin rates for HCPCS 61880

Revj/Rmvl Intracranial Neurostimulator Eltrds

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$514.71 / $1,157.44 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,344.00 / $10,517.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,464.32 / $1,711.17 / $2,760.06
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$514.71 / $734.92 / $1,139.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$565.86 / $4,240.00 / $11,598.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$514.71 / $734.92 / $1,139.44
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,181.05 / $1,817.00 / $2,335.73
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,028.25 / $11,028.25 / $11,028.25
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,045.32 / $1,045.32 / $1,045.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,073.00 / $9,837.00 / $12,062.00