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Wisconsin rates for HCPCS 63195

Lam Cordotomy Sctj 1 Spinothalmic Tract Thoracic

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,622.50 / $4,233.18 / $6,493.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,732.80 / $5,295.48 / $6,017.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,846.44 / $7,846.44 / $7,846.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $70.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,219.25 / $5,219.25 / $5,219.25
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,905.16 / $7,846.44 / $7,846.44