go back

Wisconsin rates for HCPCS 63250

Lam Exc/Occlusion Avm Spinal Cord Cervical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,514.62 / $5,606.39 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,514.62 / $2,988.75 / $10,589.00
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
$2,660.98 / $6,158.25 / $15,527.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,017.92 / $8,201.00 / $12,580.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,192.89 / $10,549.43 / $11,987.99
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,514.62 / $3,520.47 / $5,606.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,514.62 / $3,746.78 / $6,754.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,103.34 / $5,505.36 / $20,873.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.11 / $1,838.44 / $5,928.18
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,514.62 / $3,368.15 / $5,606.39
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,871.45 / $7,154.14 / $10,679.72
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,606.44 / $47,606.44 / $47,606.44
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,299.96 / $13,264.45 / $20,873.84
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,475.39 / $9,475.39 / $9,475.39
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,100.67 / $15,396.99 / $15,796.78
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
$3,103.34 / $5,315.92 / $11,938.01