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Wisconsin rates for HCPCS 63688

Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$337.33 / $602.78 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $8,139.00 / $11,136.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$763.25 / $891.92 / $1,368.22
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.48 / $499.61 / $752.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.48 / $591.70 / $11,100.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.48 / $493.89 / $752.86
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591.50 / $728.18 / $1,121.77
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,995.10 / $3,995.10 / $11,028.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,240.00 / $9,158.00 / $12,062.00