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Wisconsin rates for HCPCS 63741

Crtj Shunt Lmbr Sarach-Prtl-Pleural Prq X Lam

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$603.24 / $1,327.43 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.24 / $696.51 / $2,507.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $9,948.00 / $15,579.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.20 / $1,435.07 / $3,667.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,691.40 / $1,976.54 / $3,032.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$988.42 / $2,522.37 / $2,866.33
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$603.24 / $844.54 / $1,398.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$603.24 / $1,085.83 / $13,250.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.10 / $1,250.53 / $4,930.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.33 / $521.87 / $1,362.62
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$603.24 / $833.68 / $1,398.80
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,343.55 / $1,637.06 / $2,443.81
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,174.84 / $20,174.84 / $20,174.84
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,267.21 / $3,176.55 / $4,930.88
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.19 / $2,238.19 / $2,238.19
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,096.94 / $3,476.81 / $3,776.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,301.00 / $11,608.00 / $13,980.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$701.12 / $1,235.04 / $2,716.32