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Wisconsin rates for HCPCS 63252

Lam Exc/Occlusion Avm Spi Cord Thoracolumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,571.82 / $5,735.83 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,571.82 / $3,056.85 / $10,222.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,499.00 / $16,241.00 / $22,519.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,738.05 / $6,298.33 / $15,876.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,180.12 / $8,390.54 / $12,871.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,305.34 / $10,791.46 / $12,263.03
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,571.82 / $3,784.00 / $5,775.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,607.54 / $4,298.84 / $16,976.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,247.27 / $5,610.70 / $21,346.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.11 / $1,870.69 / $6,016.92
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,571.82 / $3,600.55 / $5,775.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,002.75 / $7,314.12 / $10,918.54
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48,679.40 / $48,679.40 / $48,679.40
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,421.56 / $13,559.55 / $21,346.08
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,688.78 / $9,688.78 / $9,688.78
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,816.05 / $15,748.34 / $16,159.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,775.00 / $14,249.00 / $19,562.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,171.19 / $5,492.25 / $13,021.25