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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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $3,715.35 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $1,995.26 / $3,715.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,748.98 / $16,218.10 / $27,542.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $3,467.37 / $9,332.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $5,495.41 / $8,709.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,951.21 / $7,244.36 / $8,128.31
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $7,244.36 / $13,489.63
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,235.94 / $4,466.84 / $5,623.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $3,548.13 / $7,943.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $3,311.31 / $13,803.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $2,089.30
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $4,786.30 / $7,762.47
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $26,302.68 / $26,302.68
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $8,709.64 / $13,803.84
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,309.57 / $6,309.57 / $6,309.57
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,025.60 / $10,471.29 / $12,589.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $6,165.95 / $19,498.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,951.21 / $7,943.28