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Wisconsin rates for HCPCS 62120

Rpr Encephalocele Skull Vault W/Cranioplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,814.16 / $4,015.94 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,744.24 / $1,814.97 / $5,737.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,499.00 / $16,401.00 / $25,162.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.61 / $5,224.68 / $14,013.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,113.85 / $5,975.95 / $9,638.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,569.71 / $7,598.18 / $8,634.29
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,814.16 / $2,512.00 / $3,837.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,814.97 / $2,839.07 / $7,700.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,103.34 / $4,790.78 / $14,785.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.59 / $1,317.09 / $4,188.84
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,814.16 / $2,512.00 / $3,837.45
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,106.70 / $6,318.00 / $8,780.09
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,901.40 / $28,901.40 / $28,901.40
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,817.29 / $9,581.54 / $14,837.84
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,863.41 / $6,863.41 / $6,863.41
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,824.61 / $11,377.60 / $11,377.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,000.79 / $5,920.77 / $9,185.18