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Wisconsin rates for HCPCS 62100

Crx Rpr Dural/Csf Leak Rhinorrhea/Otorrhea

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,371.97 / $3,054.49 / $14,482.00
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
$3,844.18 / $4,492.22 / $7,245.80
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,371.97 / $2,031.80 / $2,980.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,493.31 / $2,803.00 / $7,700.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,371.97 / $2,041.61 / $2,980.39
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,112.20 / $4,788.00 / $6,487.92
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,882.12 / $21,882.12 / $21,882.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00