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Wisconsin rates for HCPCS 63197

Lam W/Cordotomy Sctj Spinothalamic Trc 1stg Thrc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,466.92 / $3,281.42 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,466.92 / $1,734.10 / $6,198.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,499.00 / $16,401.00 / $25,162.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,500.74 / $3,592.47 / $9,041.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,116.32 / $4,810.24 / $7,379.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,430.91 / $6,169.12 / $7,010.36
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,466.92 / $2,187.62 / $3,263.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,470.48 / $2,328.31 / $5,887.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,741.71 / $3,083.40 / $12,163.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.72 / $1,385.28 / $3,546.13
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,466.92 / $2,185.71 / $3,263.70
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,413.80 / $4,159.58 / $6,209.44
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,775.60 / $21,775.60 / $21,775.60
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,099.32 / $7,670.15 / $12,163.12
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,517.27 / $5,517.27 / $5,517.27
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,572.59 / $8,941.49 / $9,237.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,810.00 / $19,003.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,713.62 / $3,185.04 / $7,002.85