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Wisconsin rates for HCPCS 63663

Revj Incl Rplcmt Nstim Eltrd Prq Ra Incl Fluor

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.71 / $919.08 / $3,251.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,692.00 / $15,055.00 / $22,609.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,415.90 / $2,823.17 / $4,330.82
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.56 / $876.82 / $1,590.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$447.40 / $973.08 / $13,982.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.56 / $876.82 / $1,590.44
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,035.75 / $1,865.93 / $2,988.12
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,168.78 / $3,168.78 / $10,601.35
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$205.58 / $205.58 / $205.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,356.00 / $11,891.00 / $15,090.00