go back

Wisconsin rates for HCPCS 63043

Lamot Prtl Ffd Exc Disc Reexpl 1 Ntrspc Ea Crv

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$547.14 / $547.14 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.14 / $592.48 / $849.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,159.00 / $8,456.00 / $10,914.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.51 / $1,339.27 / $3,279.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.18 / $828.73 / $1,271.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.24 / $1,313.10 / $1,492.16
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.59 / $660.49 / $984.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.96 / $815.24 / $11,100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.75 / $615.05 / $4,441.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $85.00 / $731.34
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.59 / $640.15 / $984.85
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,143.34 / $1,450.94 / $2,080.42
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,891.56 / $9,891.56 / $9,891.56
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,154.52 / $2,875.80 / $4,441.28
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,165.07 / $1,165.07 / $1,165.07
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$939.51 / $1,998.87 / $1,998.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,241.00 / $9,837.00 / $12,062.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.16 / $611.22 / $1,386.18