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Wisconsin rates for HCPCS 62365

Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$266.82 / $602.16 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $9,720.00 / $15,579.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$761.45 / $889.81 / $1,364.99
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.25 / $397.88 / $602.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$272.17 / $554.37 / $15,090.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.25 / $397.56 / $602.16
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.15 / $721.51 / $1,077.08
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,348.38 / $6,348.38 / $17,524.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,154.00 / $11,891.00 / $15,090.00