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Wisconsin rates for HCPCS 62361

Impltj/Rplcmt Fs Non-Prgrbl Pump

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.14 / $859.28 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.14 / $442.79 / $1,623.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,123.00 / $18,187.00 / $24,019.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.64 / $808.94 / $2,337.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,086.75 / $1,269.95 / $1,948.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.10 / $1,612.23 / $1,832.08
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.14 / $567.90 / $873.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.90 / $686.05 / $23,474.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.78 / $786.50 / $8,570.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.50 / $313.54 / $905.87
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.14 / $549.70 / $873.55
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.90 / $1,066.03 / $1,591.38
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,924.90 / $31,924.90 / $88,126.75
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$809.98 / $1,946.45 / $8,570.73
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,426.77 / $1,426.77 / $1,426.77
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,300.13 / $1,937.50 / $2,414.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,078.00 / $19,708.00 / $24,111.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.58 / $776.60 / $1,751.81