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Wisconsin rates for HCPCS 62117

Reduction of craniomegalic skull (eg, treated hydrocephalus); requiring craniotomy and reconstruction with or without bone graft (includes obtaining grafts)

Facilitymedian $14,791 · 10th–90th $4,898–$26,3030%10%10th90th$14,791Professionalmedian $2,630 · 10th–90th $1,738–$7,7620%10%10th90th$2,630$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $3,715.35 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $1,995.26 / $4,786.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,748.98 / $16,218.10 / $27,542.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,778.28 / $3,467.37 / $9,332.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $5,495.41 / $8,709.64
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,398.83 / $6,606.93 / $8,128.31
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $7,244.36 / $14,454.40
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,235.94 / $4,466.84 / $5,623.41
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $3,548.13 / $9,549.93
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $3,311.31 / $13,489.63
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $2,089.30
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $2,630.27 / $3,162.28
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,511.89 / $4,570.88 / $7,943.28
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,454.71 / $4,786.30 / $8,128.31
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $26,302.68 / $26,302.68
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,467.37 / $8,709.64 / $13,803.84
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,309.57 / $6,309.57 / $6,309.57
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,025.60 / $10,471.29 / $12,589.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $7,079.46 / $19,498.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,778.28 / $3,019.95 / $7,943.28