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Wisconsin rates for HCPCS 63194

Laminectomy with cordotomy, with section of 1 spinothalamic tract, 1 stage; cervical

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,870.00 / $16,241.00 / $23,060.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,790.11 / $4,429.04 / $6,794.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,859.24 / $5,523.14 / $6,276.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,171.88 / $11,171.88 / $11,171.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $70.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,201.28 / $5,201.28 / $5,201.28
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,739.09 / $11,171.88 / $11,171.88