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Wisconsin rates for HCPCS 62256

Rmvl Compl Csf Shunt System W/O Rplcmt Shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$534.76 / $1,201.16 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.00 / $3,594.00 / $5,962.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,523.79 / $1,780.67 / $2,872.16
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$534.76 / $772.14 / $1,181.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.24 / $1,244.86 / $6,150.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$534.76 / $772.14 / $1,181.53
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,226.55 / $1,887.00 / $2,455.92
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,890.52 / $7,890.52 / $7,890.52
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$285.66 / $285.66 / $285.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,976.00 / $4,155.00 / $5,865.00